DAVID P DICKSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

NOT RENEWED

Business

First Name

DAVID P

Last Name

DICKSON

Suffix

Business Name

DAVID P DICKSON MD

Original Issue Date

09/28/1990

Effective Date

09/28/1990

Expiration Date

07/31/1996

City

SYCAMORE

State

Zip

60178

County

DEKALB

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006