MARTIENE HICKAM - Physical Therapist License in Illinois | # 070011347

MARTIENE HICKAM

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070011347

License Status

NOT RENEWED

Business

N

First Name

MARTIENE

Last Name

HICKAM

Business Name

MARTIENE HICKAM

Original Issue Date

06/01/1999

Effective Date

06/01/1999

Expiration Date

09/30/2002

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005