LIDIA B ICKES DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019028229

License Status

ACTIVE

Business

First Name

LIDIA

Middle

Last Name

ICKES

Suffix

DDS

Business Name

LIDIA B ICKES DDS

Original Issue Date

04/09/2010

Effective Date

09/26/2024

Expiration Date

09/30/2027

City

BLOOMFIELD HILLS

State

Zip

48301

Ever Disciplined

LastModifiedDate

09/26/2024