The holder whose full name is Hicks, Thomas Joseph,come from Fort Wayne IN,hold the Physician license(NO.01023587A) which status is Expired Non-Renewable.
| Name | Hicks, Thomas Joseph |
|---|---|
| License Number | 01023587A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Fort Wayne |
| State | IN |