TATIANA KATHARINA DIXON MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052890

License Status

CANCELLED

Business

Title

First Name

TATIANA

Middle

KATHARINA

Last Name

DIXON

Business Name

TATIANA KATHARINA DIXON MD

Original Issue Date

06/24/2010

Effective Date

06/24/2010

Expiration Date

06/23/2012

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Otolaryngology

Ever Disciplined

LastModifiedDate

04/21/2010