DAVID T HICKS Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928573

License Status

CANCELLED

Business

First Name

DAVID T

Last Name

HICKS

Business Name

DAVID T HICKS

Original Issue Date

04/19/2002

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

DIXON

State

Zip

61021

County

LEE

Ever Disciplined

LastModifiedDate

05/04/2010