RYAN MATTHEW HICKEY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****92

License Status

NOT RENEWED

Business

First Name

RYAN

Middle

MATTHEW

Last Name

HICKEY

Suffix

Business Name

RYAN MATTHEW HICKEY MD

Original Issue Date

12/15/2008

Effective Date

05/14/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020