MIRIAM ALTAGRACIA DICKSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036141191

License Status

ACTIVE

Business

Title

First Name

MIRIAM

Middle

ALTAGRACIA

Last Name

DICKSON

Business Name

MIRIAM ALTAGRACIA DICKSON MD

Original Issue Date

07/11/2016

Effective Date

05/03/2023

Expiration Date

07/31/2026

City

PONTE VEDRA

State

Zip

32081

Ever Disciplined

LastModifiedDate

05/03/2023