MARK WICKS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036050774

License Status

NOT RENEWED

Business

First Name

MARK

Last Name

WICKS

Suffix

Business Name

MARK WICKS MD

Original Issue Date

02/25/1975

Effective Date

04/24/2014

Expiration Date

07/31/2017

City

WESTMONT

State

Zip

60559

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/01/2017