ANNE ELIZABETH DICKISON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****03

License Status

NOT RENEWED

Business

First Name

ANNE ELIZABETH

Last Name

DICKISON

Suffix

Business Name

ANNE ELIZABETH DICKISON MD

Original Issue Date

08/28/2002

Effective Date

06/22/2011

Expiration Date

07/31/2014

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020