TISHA NICOLE DICKEY DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036164502

License Status

ACTIVE

Business

Title

First Name

TISHA

Middle

NICOLE

Last Name

DICKEY

Business Name

TISHA NICOLE DICKEY DO

Original Issue Date

04/24/2023

Effective Date

04/24/2023

Expiration Date

07/31/2026

City

LEOMINSTER

State

Zip

01453

Ever Disciplined

LastModifiedDate

04/24/2023