RICKY P MADDOX MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****31

License Status

ACTIVE

Business

First Name

RICKY

Middle

Last Name

MADDOX

Suffix

Business Name

RICKY P MADDOX MD

Original Issue Date

06/24/1992

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

MORRISON

State

Zip

61270

County

WHITESIDE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023