STACY LAMAR HICKS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007302

License Status

NOT RENEWED

Business

First Name

STACY

Middle

LAMAR

Last Name

HICKS

Business Name

STACY LAMAR HICKS

Original Issue Date

09/25/2019

Effective Date

02/04/2020

Expiration Date

03/01/2022

City

TEMPLE

State

Zip

76502

County

TEXAS

Ever Disciplined

LastModifiedDate

07/27/2022