DAVID MICHAEL DICKERSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036132595

License Status

ACTIVE

Business

Title

First Name

DAVID

Middle

MICHAEL

Last Name

DICKERSON

Business Name

DAVID MICHAEL DICKERSON MD

Original Issue Date

04/23/2013

Effective Date

06/23/2023

Expiration Date

07/31/2026

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

06/23/2023