ELTON WADE DIXON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125034010

License Status

EXPIRED

Business

Title

First Name

ELTON

Middle

WADE

Last Name

DIXON

Business Name

ELTON WADE DIXON MD

Original Issue Date

03/15/1996

Effective Date

03/15/1996

Expiration Date

07/01/1999

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006