PAUL ANDREW RICKETTS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051084

License Status

CANCELLED

Business

First Name

PAUL

Middle

ANDREW

Last Name

RICKETTS

Suffix

Business Name

PAUL ANDREW RICKETTS MD

Original Issue Date

06/24/2006

Effective Date

06/24/2006

Expiration Date

06/23/2009

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/27/2011