RICKEY D KING Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****37

License Status

NOT RENEWED

Business

First Name

RICKEY D

Last Name

KING

Business Name

RICKEY D KING

Original Issue Date

07/23/1990

Effective Date

07/23/1990

Expiration Date

07/31/1996

City

MELROSE PARK

State

Zip

60160

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006