JOSHUA MCKINNON HICKMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036107457

License Status

NOT RENEWED

Business

First Name

JOSHUA

Middle

MCKINNON

Last Name

HICKMAN

Suffix

Business Name

JOSHUA MCKINNON HICKMAN MD

Original Issue Date

07/12/2002

Effective Date

07/12/2002

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006