| Physician Last Name: | Hickman |
| Physician First Name: | James |
| Physician Middle Name: | M |
| Address: | 2082 Main Street
Hannover, Maine 04237 |
| License Number: | 004171 |
| License Type: | PA |
| Year of Birth: |
1959
|
| Effective Date: | 01/25/2002 |
| Action Description for DOH Webpage: | License surrender |
| Misconduct Description for DOH Webpage: | The physician assistant did not contest the charge of having been disciplined by the Alaska State Medical Board for practicing medicine without an approved collaborative plan in place. |
| License Limitations or Conditions for DOH Webpage: | |
| Board Order: |
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