KENNETH THOMAS HENNRICK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036153259

License Status

NOT RENEWED

Business

Title

First Name

KENNETH

Middle

THOMAS

Last Name

HENNRICK

Business Name

KENNETH THOMAS HENNRICK MD

Original Issue Date

06/04/2020

Effective Date

06/04/2020

Expiration Date

07/31/2023

City

BROOKLYN

State

Zip

11206

Ever Disciplined

LastModifiedDate

11/30/2023