LIZBETH H DIDRIKSEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****34

License Status

ACTIVE

Business

First Name

LIZBETH H

Last Name

DIDRIKSEN

Suffix

Business Name

LIZBETH H DIDRIKSEN MD

Original Issue Date

05/05/1989

Effective Date

07/20/2023

Expiration Date

07/31/2026

City

GLEN CARBON

State

Zip

62034

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/20/2023