MARK L DILLON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****30

License Status

NOT RENEWED

Business

First Name

MARK L

Last Name

DILLON

Suffix

Business Name

MARK L DILLON MD

Original Issue Date

05/05/2010

Effective Date

07/10/2014

Expiration Date

07/31/2017

City

MONMOUTH

State

Zip

61462

County

WARREN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020