DOUGLAS R DIXON DMD Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019026911

License Status

INACTIVE

Business

First Name

DOUGLAS

Middle

Last Name

DIXON

Suffix

DMD

Business Name

DOUGLAS R DIXON DMD

Original Issue Date

09/28/2005

Effective Date

10/01/2006

Expiration Date

09/30/2009

City

WADSWORTH

State

Zip

60083

County

LAKE

Ever Disciplined

LastModifiedDate

06/04/2009