MATTHEW J HICKEY DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036107625

License Status

INACTIVE

Business

First Name

MATTHEW

Middle

Last Name

HICKEY

Suffix

Business Name

MATTHEW J HICKEY DO

Original Issue Date

08/06/2002

Effective Date

08/06/2002

Expiration Date

07/31/2005

City

NORFOLK

State

Zip

23507

County

VIRGINIA

Ever Disciplined

LastModifiedDate

10/09/2006