JEFFREY S DICKSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036102805

License Status

NOT RENEWED

Business

First Name

JEFFREY

Middle

Last Name

DICKSON

Suffix

Business Name

JEFFREY S DICKSON MD

Original Issue Date

06/23/2000

Effective Date

06/23/2000

Expiration Date

07/31/2002

City

PEORIA

State

Zip

61602

County

PEORIA

Ever Disciplined

LastModifiedDate

10/09/2006