SUSAN KAY HENDRICKS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036095589

License Status

NOT RENEWED

Business

First Name

SUSAN KAY

Last Name

HENDRICKS

Suffix

Business Name

SUSAN KAY HENDRICKS MD

Original Issue Date

06/05/1997

Effective Date

06/05/1997

Expiration Date

07/31/2005

City

KALAMAZOO

State

Zip

49048

Ever Disciplined

LastModifiedDate

07/12/2011