MATTHEW ALAN HICKS DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130001311

License Status

EXPIRED

Business

Title

First Name

MATTHEW

Middle

ALAN

Last Name

HICKS

Business Name

MATTHEW ALAN HICKS DO

Original Issue Date

10/07/2019

Effective Date

10/07/2019

Expiration Date

11/06/2019

City

CHICAGO

State

Zip

60612

Specialty/Qualifier

Geriatric Medicine

Ever Disciplined

LastModifiedDate

01/13/2020