LUCILLE HICKMAN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002091

License Status

NOT RENEWED

Business

First Name

LUCILLE

Last Name

HICKMAN

Business Name

LUCILLE HICKMAN

Original Issue Date

01/16/1976

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

11/08/2006