JOHN H HICKS III MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036064977

License Status

NOT RENEWED

Business

Title

First Name

JOHN

Middle

Last Name

HICKS

Suffix

III

Business Name

JOHN H HICKS III MD

Original Issue Date

07/30/1982

Effective Date

04/12/2011

Expiration Date

07/31/2014

City

DELAVAN

State

Zip

53115

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/17/2014