JEFFREY S DICKSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

NOT RENEWED

Business

First Name

JEFFREY

Middle

Last Name

DICKSON

Suffix

Business Name

JEFFREY S DICKSON MD

Original Issue Date

06/23/2000

Effective Date

06/23/2000

Expiration Date

07/31/2002

City

PEORIA

State

Zip

61602

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006