KEN BARRICK Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036118877

License Status

NOT RENEWED

Business

First Name

KEN

Last Name

BARRICK

Business Name

KEN BARRICK

Original Issue Date

07/03/2007

Effective Date

06/09/2014

Expiration Date

07/31/2017

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Ever Disciplined

LastModifiedDate

12/18/2017

Case Number

2017009227

Action

Suspension

Discipline Start Date

12/16/2017

Discipline End Date

03/28/2019

Discipline Reason

Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 03/29/2019.