FRANK THOMAS DICKER 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

Title

First Name

FRANK

Middle

THOMAS

Last Name

DICKER

Business Name

FRANK THOMAS DICKER MD

Original Issue Date

07/28/2022

Effective Date

07/28/2022

Expiration Date

07/31/2023

City

MARYVILLE

State

Zip

62062

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023