MANUEL J D DIZON DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036079273

License Status

NOT RENEWED

Business

First Name

MANUEL J D

Last Name

DIZON

Suffix

Business Name

MANUEL J D DIZON DO

Original Issue Date

08/02/1989

Effective Date

08/02/1989

Expiration Date

07/31/1993

City

WESTMONT

State

Zip

60559

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/20/2006