RICHARD TODD HICK DDS Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125043933

License Status

EXPIRED

Business

First Name

RICHARD

Middle

TODD

Last Name

HICK

Suffix

DDS

Business Name

RICHARD TODD HICK DDS

Original Issue Date

05/21/2002

Effective Date

05/21/2002

Expiration Date

07/24/2005

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006