STUART G HICKERSON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125023672

License Status

EXPIRED

Business

Title

First Name

STUART

Middle

Last Name

HICKERSON

Business Name

STUART G HICKERSON MD

Original Issue Date

05/09/1989

Effective Date

05/09/1989

Expiration Date

06/30/1992

City

PEORIA

State

Zip

61603

County

PEORIA

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006