ALEX J LICKERMAN Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

ACTIVE

Business

First Name

ALEX J

Last Name

LICKERMAN

Business Name

ALEX J LICKERMAN

Original Issue Date

01/29/1996

Effective Date

04/12/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60601

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2023