REBECCA LOUISE DIX MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125072911

License Status

CANCELLED

Business

Title

First Name

REBECCA

Middle

LOUISE

Last Name

DIX

Business Name

REBECCA LOUISE DIX MD

Original Issue Date

06/26/2018

Effective Date

06/26/2018

Expiration Date

06/25/2021

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

06/06/2018