HERMAN JUSTUS DICK JR MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036056374

License Status

INACTIVE

Business

First Name

HERMAN JUSTUS

Last Name

DICK JR

Suffix

Business Name

HERMAN JUSTUS DICK JR MD

Original Issue Date

02/09/1978

Effective Date

08/27/2020

Expiration Date

07/31/2023

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

07/15/2023