DONALD V DICHSEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

NOT RENEWED

Business

First Name

DONALD V

Last Name

DICHSEN

Suffix

Business Name

DONALD V DICHSEN MD

Original Issue Date

08/15/1985

Effective Date

08/15/1985

Expiration Date

07/31/2005

City

O'FALLON

State

Zip

62208

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006