STANTON FORREST DODSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036106378

License Status

NOT RENEWED

Business

First Name

STANTON

Middle

FORREST

Last Name

DODSON

Suffix

Business Name

STANTON FORREST DODSON MD

Original Issue Date

02/26/2002

Effective Date

05/03/2011

Expiration Date

07/31/2014

City

HINSDALE

State

Zip

60521

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/17/2014