MARK WICKS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****24

License Status

NOT RENEWED

Business

First Name

MARK

Last Name

WICKS

Suffix

Business Name

MARK WICKS MD

Original Issue Date

07/17/1987

Effective Date

07/17/1987

Expiration Date

07/31/1996

City

HINSDALE

State

Zip

60521

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017