MARY E HICKS Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112109

License Status

NOT RENEWED

Business

First Name

MARY

Middle

Last Name

HICKS

Business Name

MARY E HICKS

Original Issue Date

08/13/2004

Effective Date

05/30/2014

Expiration Date

07/31/2017

City

HIGHLANDS RANCH

State

Zip

80126

County

COLORADO

Ever Disciplined

LastModifiedDate

11/01/2017