KEVIN A HICKS Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036103395

License Status

NOT RENEWED

Business

First Name

KEVIN

Middle

Last Name

HICKS

Business Name

KEVIN A HICKS

Original Issue Date

09/05/2000

Effective Date

09/05/2000

Expiration Date

07/31/2005

City

HERMITAGE

State

Zip

16148

County

PENNSYLVANIA

Ever Disciplined

LastModifiedDate

11/07/2022