DUANE P DICKENS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036081672

License Status

NOT RENEWED

Business

First Name

DUANE P

Last Name

DICKENS

Suffix

Business Name

DUANE P DICKENS MD

Original Issue Date

10/19/1990

Effective Date

10/19/1990

Expiration Date

07/31/1993

City

LAGRANGE

State

Zip

60525

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006