DRUSIA DICKSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

ACTIVE

Business

Title

First Name

DRUSIA

Last Name

DICKSON

Business Name

DRUSIA DICKSON MD

Original Issue Date

04/04/2022

Effective Date

05/31/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61108

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/31/2023