MAURA ALICIA DICKINSON DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036135376

License Status

NOT RENEWED

Business

Title

First Name

MAURA

Middle

ALICIA

Last Name

DICKINSON

Business Name

MAURA ALICIA DICKINSON DO

Original Issue Date

05/23/2014

Effective Date

05/05/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023