ALFRED K HICKS JR DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046627

License Status

EXPIRED

Business

First Name

ALFRED

Middle

Last Name

HICKS

Suffix

JR DO

Business Name

ALFRED K HICKS JR DO

Original Issue Date

06/05/2003

Effective Date

06/05/2003

Expiration Date

06/18/2004

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Rotating Internship

Ever Disciplined

LastModifiedDate

09/22/2006