SEAN DAVID HENDRICKS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****90

License Status

ACTIVE

Business

Title

First Name

SEAN

Middle

DAVID

Last Name

HENDRICKS

Business Name

SEAN DAVID HENDRICKS MD

Original Issue Date

09/28/2018

Effective Date

06/20/2024

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/20/2024