DWIGHT E SLATER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036067114

License Status

NOT RENEWED

Business

First Name

DWIGHT E

Last Name

SLATER

Suffix

Business Name

DWIGHT E SLATER MD

Original Issue Date

07/22/1983

Effective Date

07/22/1983

Expiration Date

07/31/1987

City

PRAIRIEVIEW

State

Zip

60069

County

LAKE

Ever Disciplined

LastModifiedDate

09/20/2006