MICHELLE HICKEY DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****71

License Status

ACTIVE

Business

Title

DMD

First Name

MICHELLE

Last Name

HICKEY

Business Name

MICHELLE HICKEY DMD

Original Issue Date

09/27/2023

Effective Date

05/02/2024

Expiration Date

09/30/2027

City

MT ZION

State

Zip

62549

County

MACON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/02/2024