DAVID L BICKNELL DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125043153

License Status

EXPIRED

Business

First Name

DAVID

Middle

Last Name

BICKNELL

Suffix

Business Name

DAVID L BICKNELL DO

Original Issue Date

06/22/2001

Effective Date

06/22/2001

Expiration Date

06/21/2004

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006