MATTHEW J LICKERMAN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036107649

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

Last Name

LICKERMAN

Business Name

MATTHEW J LICKERMAN

Original Issue Date

08/08/2002

Effective Date

06/23/2011

Expiration Date

07/31/2014

City

CORAL SPRINGS

State

Zip

33076

County

FLORIDA

Ever Disciplined

LastModifiedDate

11/17/2014