KATHERINE ELIZABETH HICKS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125063836

License Status

CANCELLED

Business

Title

First Name

KATHERINE

Middle

ELIZABETH

Last Name

HICKS

Business Name

KATHERINE ELIZABETH HICKS MD

Original Issue Date

06/23/2016

Effective Date

06/23/2016

Expiration Date

06/22/2018

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Otolaryngology

Ever Disciplined

LastModifiedDate

01/12/2016