RYAN MATTHEW HICKEY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036122319

License Status

NOT RENEWED

Business

First Name

RYAN

Middle

MATTHEW

Last Name

HICKEY

Suffix

Business Name

RYAN MATTHEW HICKEY MD

Original Issue Date

12/11/2008

Effective Date

09/16/2020

Expiration Date

07/31/2023

City

NEW YORK

State

Zip

10014

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023