RICKEY D KING Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****36

License Status

CANCELLED

Business

First Name

RICKEY D

Last Name

KING

Business Name

RICKEY D KING

Original Issue Date

09/16/1987

Effective Date

09/16/1987

Expiration Date

07/31/2002

City

LAKE FOREST

State

Zip

60045

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006