ASHLEY LAVON BARKS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****36

License Status

NOT RENEWED

Business

Title

First Name

ASHLEY

Middle

LAVON

Last Name

BARKS

Business Name

ASHLEY LAVON BARKS MD

Original Issue Date

12/10/2014

Effective Date

04/24/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021