DAVID T HICKS Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047926773

License Status

NOT RENEWED

Business

First Name

DAVID T

Last Name

HICKS

Business Name

DAVID T HICKS

Original Issue Date

02/14/2000

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

MADISON

State

Zip

62060

County

MADISON

Ever Disciplined

LastModifiedDate

09/11/2005