THOMAS MARCUS MICK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035406

License Status

EXPIRED

Business

First Name

THOMAS

Middle

MARCUS

Last Name

MICK

Suffix

Business Name

THOMAS MARCUS MICK MD

Original Issue Date

07/18/1996

Effective Date

07/18/1996

Expiration Date

07/16/1999

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006