HARRY GLENN HICKS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036037530

License Status

NOT RENEWED

Business

First Name

HARRY GLENN

Last Name

HICKS

Suffix

Business Name

HARRY GLENN HICKS MD

Original Issue Date

11/27/1961

Effective Date

11/27/1961

City

SALT LAKE CITY

State

Zip

84143

County

UTAH

Ever Disciplined

LastModifiedDate

09/20/2006