MARY ELIZABETH HICKNER Podiatrist License verification

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000965

License Status

EXPIRED

Business

First Name

MARY

Middle

ELIZABETH

Last Name

HICKNER

Business Name

MARY ELIZABETH HICKNER

Original Issue Date

06/15/2017

Effective Date

07/01/2020

Expiration Date

06/30/2021

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

05/18/2022