The holder whose full name is Hicks, Alfred K.,come from Olympia Fields IL,hold the Medical Residency Permit license(NO.11011679A) which status is Expired.
| Name | Hicks, Alfred K. |
|---|---|
| License Number | 11011679A |
| License Type | Medical Residency Permit |
| License Status | Expired |
| City | Olympia Fields |
| State | IL |