MARY E HICKS Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125042465

License Status

EXPIRED

Business

First Name

MARY

Middle

Last Name

HICKS

Business Name

MARY E HICKS

Original Issue Date

07/01/2001

Effective Date

07/01/2001

Expiration Date

06/30/2005

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006