DAVID T HICKS Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929886

License Status

NOT RENEWED

Business

First Name

DAVID T

Last Name

HICKS

Business Name

DAVID T HICKS

Original Issue Date

12/05/2003

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

GENEVA

State

Zip

60134

County

KANE

Ever Disciplined

LastModifiedDate

09/11/2005