PAUL ANDREW RICKETTS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****20

License Status

NOT RENEWED

Business

First Name

PAUL

Middle

ANDREW

Last Name

RICKETTS

Suffix

Business Name

PAUL ANDREW RICKETTS MD

Original Issue Date

04/02/2009

Effective Date

04/12/2011

Expiration Date

07/31/2014

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014