CHANAE DEMALLE DIXON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036145619

License Status

ACTIVE

Business

Title

First Name

CHANAE

Middle

DEMALLE

Last Name

DIXON

Business Name

CHANAE DEMALLE DIXON MD

Original Issue Date

04/04/2018

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

04/06/2023