DWIGHT LEWIS DYKSTERHOUSE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036088068

License Status

NOT RENEWED

Business

First Name

DWIGHT LEWIS

Last Name

DYKSTERHOUSE

Suffix

Business Name

DWIGHT LEWIS DYKSTERHOUSE MD

Original Issue Date

03/02/1994

Effective Date

03/02/1994

Expiration Date

07/31/1996

City

HAWKINSVILLE

State

Zip

31036

County

GEORGIA

Ever Disciplined

LastModifiedDate

09/20/2006