CHARLES MICHAEL HICKS DDS - Dentist License in Illinois | # 019014215

CHARLES MICHAEL HICKS DDS

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019014215

License Status

INACTIVE

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

06/04/2009