BRET D HENRICKS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

NOT RENEWED

Business

First Name

BRET D

Last Name

HENRICKS

Suffix

Business Name

BRET D HENRICKS MD

Original Issue Date

07/25/1988

Effective Date

07/25/1988

Expiration Date

07/31/1990

City

CHICAGO

State

Zip

60153

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006