GARY JOHN VICIK MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****70

License Status

INACTIVE

Business

First Name

GARY JOHN

Last Name

VICIK

Suffix

Business Name

GARY JOHN VICIK MD

Original Issue Date

01/01/1997

Effective Date

05/16/2023

Expiration Date

07/31/2026

City

BELLEVILLE

State

Zip

62226

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/04/2025