VAN LOUDON HICKS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036040249

License Status

NOT RENEWED

Business

First Name

VAN LOUDON

Last Name

HICKS

Suffix

Business Name

VAN LOUDON HICKS MD

Original Issue Date

03/02/1966

Effective Date

07/13/2017

Expiration Date

09/30/2020

City

MORRIS

State

Zip

60450

County

GRUNDY

Ever Disciplined

LastModifiedDate

01/14/2021