ANIECIA HICKS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006874

License Status

NOT RENEWED

Business

First Name

ANIECIA

Last Name

HICKS

Business Name

ANIECIA HICKS

Original Issue Date

12/07/2018

Effective Date

12/07/2018

Expiration Date

03/01/2020

City

MARION

State

Zip

62959

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

11/24/2020