RYAN MATTHEW HICKEY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052247

License Status

EXPIRED

Business

First Name

RYAN

Middle

MATTHEW

Last Name

HICKEY

Suffix

Business Name

RYAN MATTHEW HICKEY MD

Original Issue Date

07/01/2008

Effective Date

07/01/2008

Expiration Date

06/30/2009

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

07/15/2009