CHARLES MICHAEL HICKS DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000821

License Status

NOT RENEWED

Business

First Name

CHARLES MICHAEL

Last Name

HICKS

Suffix

DDS

Business Name

CHARLES MICHAEL HICKS DDS

Original Issue Date

01/14/1975

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

BELLEVILLE

State

Zip

62223

County

SAINT CLAIR

Specialty/Qualifier

Orthodontics

Ever Disciplined

LastModifiedDate

11/04/2009