GREGORY J HICKS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125037588

License Status

EXPIRED

Business

First Name

GREGORY

Middle

Last Name

HICKS

Suffix

Business Name

GREGORY J HICKS MD

Original Issue Date

05/08/1998

Effective Date

05/08/1998

Expiration Date

06/30/2001

City

PEORIA

State

Zip

61603

County

PEORIA

Ever Disciplined

LastModifiedDate

09/22/2006