JOHN M HICKNER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

NOT RENEWED

Business

First Name

JOHN

Middle

Last Name

HICKNER

Suffix

Business Name

JOHN M HICKNER MD

Original Issue Date

10/27/2003

Effective Date

06/05/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60615

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021