DONALD G DICKEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036079477

License Status

NOT RENEWED

Business

First Name

DONALD G

Last Name

DICKEN

Suffix

Business Name

DONALD G DICKEN MD

Original Issue Date

10/11/1989

Effective Date

10/11/1989

Expiration Date

07/31/1993

City

HINSDALE

State

Zip

60521

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/20/2006