KAREN A LICKENBROCK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125019295

License Status

EXPIRED

Business

First Name

KAREN A

Last Name

LICKENBROCK

Suffix

Business Name

KAREN A LICKENBROCK MD

Original Issue Date

06/03/1986

Effective Date

06/03/1986

Expiration Date

07/01/1989

City

DECATUR

State

Zip

62526

County

MACON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006