KAMAAL ABDUL-RAHEEM HICKS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****80

License Status

ACTIVE

Business

Title

First Name

KAMAAL

Middle

ABDUL-RAHEEM

Last Name

HICKS

Business Name

KAMAAL ABDUL-RAHEEM HICKS MD

Original Issue Date

05/28/2025

Effective Date

05/28/2025

Expiration Date

07/31/2026

City

ALTON

State

Zip

62002

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/28/2025