CHARLES MICHAEL HICKS DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019014215

License Status

INACTIVE

Business

First Name

CHARLES MICHAEL

Last Name

HICKS

Suffix

DDS

Business Name

CHARLES MICHAEL HICKS DDS

Original Issue Date

12/06/1971

Effective Date

10/01/2006

Expiration Date

09/30/2009

City

BELLEVILLE

State

Zip

62223

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

06/04/2009