GARY JOHN VICIK MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036049185

License Status

INACTIVE

Business

First Name

GARY JOHN

Last Name

VICIK

Suffix

Business Name

GARY JOHN VICIK MD

Original Issue Date

05/03/1974

Effective Date

04/21/2023

Expiration Date

07/31/2026

City

BELLEVILLE

State

Zip

62226

Ever Disciplined

LastModifiedDate

12/04/2025