GARY MICHAEL HENDRICKS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****38

License Status

ACTIVE

Business

Title

First Name

GARY

Middle

MICHAEL

Last Name

HENDRICKS

Business Name

GARY MICHAEL HENDRICKS MD

Original Issue Date

06/26/2023

Effective Date

06/26/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62781

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/26/2023