RONALD A HICKOMBOTTOM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****70

License Status

ACTIVE

Business

Title

First Name

RONALD A

Last Name

HICKOMBOTTOM

Business Name

RONALD A HICKOMBOTTOM MD

Original Issue Date

03/07/1994

Effective Date

07/26/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60643

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/26/2023