DAVID T HICKS Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929706

License Status

CANCELLED

Business

First Name

DAVID T

Last Name

HICKS

Business Name

DAVID T HICKS

Original Issue Date

09/23/2003

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

WEST CHICAGO

State

Zip

60185

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/04/2010