KENT A HICKEY Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125020425

License Status

EXPIRED

Business

First Name

KENT

Middle

Last Name

HICKEY

Business Name

KENT A HICKEY

Original Issue Date

02/06/1987

Effective Date

02/06/1987

Expiration Date

02/06/1990

City

CHICAGO

State

Zip

60614

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006