KAMAAL ABDUL-RAHEEM HICKS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125079969

License Status

CANCELLED

Business

Title

First Name

KAMAAL

Middle

ABDUL-RAHEEM

Last Name

HICKS

Business Name

KAMAAL ABDUL-RAHEEM HICKS MD

Original Issue Date

07/01/2022

Effective Date

07/01/2022

Expiration Date

06/30/2025

City

ALTON

State

Zip

62002

County

MADISON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

01/28/2025