TAMMY K HICKS DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125038032

License Status

EXPIRED

Business

First Name

TAMMY

Middle

Last Name

HICKS

Suffix

Business Name

TAMMY K HICKS DO

Original Issue Date

05/28/1998

Effective Date

05/28/1998

Expiration Date

06/30/2001

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006