DOUGLAS R DIXON DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021002168

License Status

NOT RENEWED

Business

First Name

DOUGLAS

Middle

Last Name

DIXON

Suffix

DMD

Business Name

DOUGLAS R DIXON DMD

Original Issue Date

04/13/2005

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

WADSWORTH

State

Zip

60083

County

LAKE

Specialty/Qualifier

PERIODONTICS

Ever Disciplined

LastModifiedDate

01/30/2014