RAY R RICKELMAN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****60

License Status

NOT RENEWED

Business

First Name

RAY

Middle

Last Name

RICKELMAN

Business Name

RAY R RICKELMAN

Original Issue Date

05/19/2015

Effective Date

03/26/2018

Expiration Date

03/01/2020

City

LOMBARD

State

Zip

60148

Ever Disciplined

LastModifiedDate

11/24/2020