RAFAT S RIZK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****63

License Status

NOT RENEWED

Business

First Name

RAFAT

Middle

Last Name

RIZK

Suffix

Business Name

RAFAT S RIZK MD

Original Issue Date

12/08/1998

Effective Date

12/08/1998

Expiration Date

07/31/2008

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008