ANDREW CRONSON DICKLER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****28

License Status

ACTIVE

Business

Title

First Name

ANDREW

Middle

CRONSON

Last Name

DICKLER

Business Name

ANDREW CRONSON DICKLER MD

Original Issue Date

06/22/2001

Effective Date

11/24/2024

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/24/2024