ADAM LEE PRICKETT MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059032

License Status

EXPIRED

Business

Title

First Name

ADAM

Middle

LEE

Last Name

PRICKETT

Business Name

ADAM LEE PRICKETT MD

Original Issue Date

07/01/2011

Effective Date

07/01/2011

Expiration Date

06/30/2014

City

ARLINGTON HEIGHTS

State

Zip

60004

Specialty/Qualifier

Ophthalmology

Ever Disciplined

LastModifiedDate

03/13/2015