RONALD A HICKOMBOTTOM MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125013450

License Status

EXPIRED

Business

Title

First Name

RONALD A

Last Name

HICKOMBOTTOM

Business Name

RONALD A HICKOMBOTTOM MD

Original Issue Date

08/07/1981

Effective Date

08/07/1981

Expiration Date

07/01/1983

City

CHICAGO

State

Zip

60614

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006