GREGORY J HICKS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****73

License Status

NOT RENEWED

Business

First Name

GREGORY

Middle

Last Name

HICKS

Suffix

Business Name

GREGORY J HICKS MD

Original Issue Date

12/05/2000

Effective Date

12/05/2000

Expiration Date

07/31/2008

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017