TAYLOR DAVIS HICKS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048573

License Status

CANCELLED

Business

First Name

TAYLOR

Middle

DAVIS

Last Name

HICKS

Suffix

Business Name

TAYLOR DAVIS HICKS MD

Original Issue Date

06/24/2007

Effective Date

06/24/2007

Expiration Date

06/23/2009

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

06/06/2007