LAURICE DIXON - Physician Assistant License in Illinois | # 085000682

LAURICE DIXON

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000682

License Status

NOT RENEWED

Business

N

First Name

LAURICE

Last Name

DIXON

Business Name

LAURICE DIXON

Original Issue Date

04/05/1995

Effective Date

04/05/1995

Expiration Date

03/01/2000

State

IL

Ever Disciplined

N

LastModifiedDate

09/26/2006