LANE SAWYER DICKINSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****14

License Status

NOT RENEWED

Business

First Name

LANE SAWYER

Last Name

DICKINSON

Suffix

Business Name

LANE SAWYER DICKINSON MD

Original Issue Date

01/01/1997

Expiration Date

07/31/1996

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006