GERALD H DIXON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036100553

License Status

NOT RENEWED

Business

First Name

GERALD

Middle

Last Name

DIXON

Suffix

Business Name

GERALD H DIXON MD

Original Issue Date

07/06/1999

Effective Date

06/05/2014

Expiration Date

07/31/2017

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

11/01/2017