DWIGHT E SLATER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****26

License Status

NOT RENEWED

Business

First Name

DWIGHT E

Last Name

SLATER

Suffix

Business Name

DWIGHT E SLATER MD

Original Issue Date

06/25/1984

Effective Date

06/25/1984

Expiration Date

07/31/1987

City

PRAIRIE VIEW

State

Zip

60069

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006