RYAN THOMAS HICKS DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125078906

License Status

CANCELLED

Business

Title

First Name

RYAN

Middle

THOMAS

Last Name

HICKS

Business Name

RYAN THOMAS HICKS DO

Original Issue Date

06/24/2021

Effective Date

06/24/2021

Expiration Date

06/23/2024

City

CHICAGO

State

Zip

60631

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

06/14/2021