LELAND SHERYL HICKMAN DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019016056

License Status

NOT RENEWED

Business

First Name

LELAND SHERYL

Last Name

HICKMAN

Suffix

DMD

Business Name

LELAND SHERYL HICKMAN DMD

Original Issue Date

07/08/1977

Effective Date

10/01/2006

Expiration Date

09/30/2009

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

01/08/2010