JERRY N KING MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****50

License Status

NOT RENEWED

Business

First Name

JERRY N

Last Name

KING

Suffix

Business Name

JERRY N KING MD

Original Issue Date

01/01/1997

Effective Date

06/05/2017

Expiration Date

09/30/2020

City

PALOS PARK

State

Zip

60464

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021