PATRICK BARRY RENICK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****14

License Status

ACTIVE

Business

First Name

PATRICK

Middle

BARRY

Last Name

RENICK

Suffix

Business Name

PATRICK BARRY RENICK MD

Original Issue Date

08/30/2007

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

CANTON

State

Zip

61520

County

FULTON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023