MAURA ALICIA DICKINSON DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

NOT RENEWED

Business

Title

First Name

MAURA

Middle

ALICIA

Last Name

DICKINSON

Business Name

MAURA ALICIA DICKINSON DO

Original Issue Date

05/23/2014

Effective Date

07/27/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021