SHARON L JICK Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109717

License Status

NOT RENEWED

Business

First Name

SHARON

Middle

Last Name

JICK

Business Name

SHARON L JICK

Original Issue Date

07/17/2003

Effective Date

07/17/2003

Expiration Date

07/31/2005

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

10/09/2006