ANDREW CRONSON DICKLER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****39

License Status

NOT RENEWED

Business

Title

First Name

ANDREW

Middle

CRONSON

Last Name

DICKLER

Business Name

ANDREW CRONSON DICKLER MD

Original Issue Date

12/11/2007

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

MARION

State

Zip

62959

County

WILLIAMSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020