SHIRLEY L DICKINSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036078218

License Status

NOT RENEWED

Business

First Name

SHIRLEY L

Last Name

DICKINSON

Suffix

Business Name

SHIRLEY L DICKINSON MD

Original Issue Date

12/06/1988

Effective Date

12/06/1988

Expiration Date

07/31/1990

City

LAGRANGE

State

Zip

60525

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006