JEREMY WILLIAM HENRICHS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****93

License Status

ACTIVE

Business

First Name

JEREMY

Middle

WILLIAM

Last Name

HENRICHS

Suffix

Business Name

JEREMY WILLIAM HENRICHS MD

Original Issue Date

07/20/2004

Effective Date

06/24/2023

Expiration Date

07/31/2026

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/24/2023