MICHELLE BETH HICKS DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036126255

License Status

INACTIVE

Business

Title

First Name

MICHELLE

Middle

BETH

Last Name

HICKS

Business Name

MICHELLE BETH HICKS DO

Original Issue Date

07/14/2010

Effective Date

07/27/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

04/08/2014