KEVIN A HICKS Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125037185

License Status

EXPIRED

Business

First Name

KEVIN

Middle

Last Name

HICKS

Business Name

KEVIN A HICKS

Original Issue Date

08/04/1997

Effective Date

08/04/1997

Expiration Date

08/30/2000

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006