PATRICK BARRY RENICK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049283

License Status

EXPIRED

Business

First Name

PATRICK

Middle

BARRY

Last Name

RENICK

Suffix

Business Name

PATRICK BARRY RENICK MD

Original Issue Date

07/01/2005

Effective Date

07/01/2005

Expiration Date

06/30/2008

City

CANTON

State

Zip

61520

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

07/31/2008