VAN LOUDON HICKS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

NOT RENEWED

Business

First Name

VAN LOUDON

Last Name

HICKS

Suffix

Business Name

VAN LOUDON HICKS MD

Original Issue Date

01/01/1997

Effective Date

07/13/2017

Expiration Date

09/30/2020

City

MORRIS

State

Zip

60450

County

GRUNDY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021