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Field Value
AME Number: 21081
First Name: TIMOTHY W
Last Name: HICKERSON
Name Suffix:
Medical License: MD
Medical Specialty: Internal Medicine
First Class AME: Y
Appointment Date: 3/29/2001
Pilots License: Private
Accident Investigator: N
Phone Number: (937) 390-3040
Mailing Address: MAD RIVER (INCORPORATED) AIRPORT, MAD RIVER AIRPORT
City Name: URBANA
State Name: OHIO
Zip Code: 43078-
County Name: CHAMPAIGN
Region Name: GREAT LAKES

 


Updated: 08:49 am ET Nov. 13, 2015
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Department of Transportation Seal U.S. Department of Transportation
Federal Aviation Administration
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Washington, DC 20591
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