Title:
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Employee: Michael Hickey
Job Title: Electrician
Department: Provident Hospital
Date of Incident: 03/22/2016; 12/19/2017
Incident/Activity: injured stepping off ladder; repetitive work injury
Accidental Injuries: left foot; bilateral hands
Petition and Order No: 18 WC 03679
Claim Amount: $36,966.43
Attorney: GWC Law, Ltd.
Date of Subcommittee Approval: 04/23/20119
Prior/pending claims: n/a
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