KEVIN A HICKS - Medical Doctor License in Pennsylvania | # 036103395

KEVIN A HICKS

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036103395

License Status

NOT RENEWED

Business

N

First Name

KEVIN

Middle

A

Last Name

HICKS

Business Name

KEVIN A HICKS

Original Issue Date

09/05/2000

Effective Date

09/05/2000

Expiration Date

07/31/2005

State

PA

Ever Disciplined

N

LastModifiedDate

11/07/2022