THOMAS MARCUS MICK MD - Medical Doctor License in Illinois | # 125035406

THOMAS MARCUS MICK MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035406

License Status

EXPIRED

Business

N

First Name

THOMAS

Middle

MARCUS

Last Name

MICK

Suffix

MD

Business Name

THOMAS MARCUS MICK MD

Original Issue Date

07/18/1996

Effective Date

07/18/1996

Expiration Date

07/16/1999

State

IL

Specialty/Qualifier

Psychiatry

Ever Disciplined

N

LastModifiedDate

09/22/2006