STUART G HICKERSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

ACTIVE

Business

Title

First Name

STUART

Middle

Last Name

HICKERSON

Business Name

STUART G HICKERSON MD

Original Issue Date

10/15/1991

Effective Date

06/13/2023

Expiration Date

07/31/2026

City

WILLIAMSFIELD

State

Zip

61489

County

KNOX

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/13/2023