LAJON D ADDISON DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036099617

License Status

NOT RENEWED

Business

Title

First Name

LAJON

Middle

Last Name

ADDISON

Business Name

LAJON D ADDISON DO

Original Issue Date

02/10/1999

Effective Date

07/11/2014

Expiration Date

07/31/2017

City

CENTRALIA

State

Zip

62801

County

MARION

Ever Disciplined

LastModifiedDate

11/01/2017