MICHELLE BETH HICKS DO

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****21

NOT RENEWED

N

DO

MICHELLE

BETH

HICKS

MICHELLE BETH HICKS DO

07/14/2010

07/27/2011

07/31/2014

CHICAGO

IL

60614

COOK

PRACTITIONER

II III IV V

N

11/17/2014