CLARENCE RICHARD HENRIKSEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036147007

License Status

ACTIVE

Business

Title

First Name

CLARENCE

Middle

RICHARD

Last Name

HENRIKSEN

Business Name

CLARENCE RICHARD HENRIKSEN MD

Original Issue Date

07/24/2018

Effective Date

06/23/2023

Expiration Date

07/31/2026

City

SAINT LOUIS

State

Zip

63108

Ever Disciplined

LastModifiedDate

06/23/2023