MATTHEW J HICKEY DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125038994

License Status

CANCELLED

Business

First Name

MATTHEW

Middle

Last Name

HICKEY

Suffix

Business Name

MATTHEW J HICKEY DO

Original Issue Date

07/01/1999

Effective Date

07/01/1999

Expiration Date

02/25/2003

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Occupational Medicine

Ever Disciplined

LastModifiedDate

09/22/2006