MATTHEW J HICKEY DO - Medical Doctor License in Virginia | # 036107625

MATTHEW J HICKEY DO

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036107625

License Status

INACTIVE

Business

N

First Name

MATTHEW

Middle

J

Last Name

HICKEY

Suffix

DO

Business Name

MATTHEW J HICKEY DO

Original Issue Date

08/06/2002

Effective Date

08/06/2002

Expiration Date

07/31/2005

State

VA

Ever Disciplined

N

LastModifiedDate

10/09/2006