PHYLLIS A DIXON DR Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****20

License Status

ACTIVE

Business

First Name

PHYLLIS A

Last Name

DIXON DR

Business Name

PHYLLIS A DIXON DR

Original Issue Date

08/18/1987

Effective Date

05/01/2024

Expiration Date

09/30/2027

City

OAKBROOK TERRACE

State

Zip

60181

County

DUPAGE

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/01/2024