DIXON FLEMON SPIVY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036046596

License Status

NOT RENEWED

Business

First Name

DIXON FLEMON

Last Name

SPIVY

Suffix

Business Name

DIXON FLEMON SPIVY MD

Original Issue Date

10/19/1972

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

11/06/2008