LORI A HICKSON Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036099416

License Status

INACTIVE

Business

First Name

LORI

Middle

Last Name

HICKSON

Business Name

LORI A HICKSON

Original Issue Date

12/21/1998

Effective Date

12/21/1998

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006