JENNIFER SUSAN WICKS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125063198

License Status

CANCELLED

Business

Title

First Name

JENNIFER

Middle

SUSAN

Last Name

WICKS

Business Name

JENNIFER SUSAN WICKS MD

Original Issue Date

07/01/2013

Effective Date

07/01/2013

Expiration Date

06/30/2016

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

03/24/2014