ANGELA SUZANNE RICKEY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****86

License Status

NOT RENEWED

Business

Title

First Name

ANGELA

Middle

SUZANNE

Last Name

RICKEY

Business Name

ANGELA SUZANNE RICKEY MD

Original Issue Date

09/15/2014

Effective Date

09/15/2014

Expiration Date

07/31/2017

City

HINSDALE

State

Zip

60521

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017