JOSHUA MARK HENDRICKS DPM Podiatrist License verification

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135001009

License Status

EXPIRED

Business

Title

DPM

First Name

JOSHUA

Middle

MARK

Last Name

HENDRICKS

Business Name

JOSHUA MARK HENDRICKS DPM

Original Issue Date

06/13/2018

Effective Date

07/01/2018

Expiration Date

06/30/2021

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/18/2022