Medical Doctor
LICENSED PHYSICIAN CONTROLLED SUBSTANCE
33*****93
NOT RENEWED
N
ROBERT G
HICKERSON JR
MD
ROBERT G HICKERSON JR MD
01/01/1997
06/25/2014
07/31/2017
KNOXVILLE
IL
61448
KNOX
II III IV V
Y
11/01/2017
1988000124
Probation
09/29/1989
03/29/1990