RYAN THOMAS HICKS DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****25

License Status

ACTIVE

Business

Title

First Name

RYAN

Middle

THOMAS

Last Name

HICKS

Business Name

RYAN THOMAS HICKS DO

Original Issue Date

07/15/2024

Effective Date

07/15/2024

Expiration Date

07/31/2026

City

HUNTLEY

State

Zip

60142

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/15/2024