GEORGE KENNETH SHOTICK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****25

License Status

NOT RENEWED

Business

First Name

GEORGE KENNETH

Last Name

SHOTICK

Suffix

Business Name

GEORGE KENNETH SHOTICK MD

Original Issue Date

03/25/2003

Effective Date

03/25/2003

Expiration Date

07/31/2008

City

PEORIA

State

Zip

61614

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020