DWIGHT LEWIS DYKSTERHOUSE MD - Medical Doctor License in Georgia | # 036088068

DWIGHT LEWIS DYKSTERHOUSE MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036088068

License Status

NOT RENEWED

Business

N

First Name

DWIGHT LEWIS

Last Name

DYKSTERHOUSE

Suffix

MD

Business Name

DWIGHT LEWIS DYKSTERHOUSE MD

Original Issue Date

03/02/1994

Effective Date

03/02/1994

Expiration Date

07/31/1996

State

GA

Ever Disciplined

N

LastModifiedDate

09/20/2006