RAY R RICKELMAN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005070

License Status

NOT RENEWED

Business

First Name

RAY

Middle

Last Name

RICKELMAN

Business Name

RAY R RICKELMAN

Original Issue Date

06/23/2014

Effective Date

03/15/2018

Expiration Date

03/01/2020

City

WESTCHESTER

State

Zip

60154

County

COOK

Ever Disciplined

LastModifiedDate

11/24/2020