RICHARD L WIXSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036056781

License Status

NOT RENEWED

Business

First Name

RICHARD L

Last Name

WIXSON

Suffix

Business Name

RICHARD L WIXSON MD

Original Issue Date

05/19/1978

Effective Date

09/10/2020

Expiration Date

07/31/2023

City

HINSDALE

State

Zip

60521

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023