PAUL R DIRKSE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036022644

License Status

NOT RENEWED

Business

First Name

PAUL R

Last Name

DIRKSE

Suffix

Business Name

PAUL R DIRKSE MD

Original Issue Date

08/16/1938

Effective Date

08/16/1938

Expiration Date

07/01/1982

City

E PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

09/20/2006