REBECCA MARGARET HICKMAN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003849

License Status

NOT RENEWED

Business

First Name

REBECCA

Middle

MARGARET

Last Name

HICKMAN

Business Name

REBECCA MARGARET HICKMAN

Original Issue Date

09/09/2010

Effective Date

02/07/2014

Expiration Date

03/01/2016

City

CHICAGO

State

Zip

60660

County

COOK

Ever Disciplined

LastModifiedDate

12/22/2016