HENRY STREET DICKERMAN JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036021111

License Status

NOT RENEWED

Business

First Name

HENRY STREET

Last Name

DICKERMAN JR

Suffix

Business Name

HENRY STREET DICKERMAN JR MD

Original Issue Date

12/06/1935

Effective Date

12/06/1935

Expiration Date

07/31/1993

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/20/2006