REBECCA MARGARET HICKMAN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****43

License Status

NOT RENEWED

Business

First Name

REBECCA

Middle

MARGARET

Last Name

HICKMAN

Business Name

REBECCA MARGARET HICKMAN

Original Issue Date

09/21/2010

Effective Date

02/07/2014

Expiration Date

03/01/2016

City

CHICAGO

State

Zip

60660

County

COOK

Ever Disciplined

LastModifiedDate

12/22/2016