RICHARD DOUGLAS DICKINSON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000519

License Status

EXPIRED

Business

Title

First Name

RICHARD

Middle

DOUGLAS

Last Name

DICKINSON

Business Name

RICHARD DOUGLAS DICKINSON MD

Original Issue Date

05/01/2001

Effective Date

05/01/2001

Expiration Date

06/30/2001

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/25/2006