RICKY LEE SEDGWICK DO 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

RICKY LEE

Last Name

SEDGWICK

Suffix

Business Name

RICKY LEE SEDGWICK DO

Original Issue Date

03/22/2004

Effective Date

04/20/2011

Expiration Date

07/31/2014

City

SILVIS

State

Zip

61282

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014