RICHARD L WIXSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****49

License Status

NOT RENEWED

Business

First Name

RICHARD L

Last Name

WIXSON

Suffix

Business Name

RICHARD L WIXSON MD

Original Issue Date

07/10/2017

Effective Date

07/10/2017

Expiration Date

09/30/2020

City

SKOKIE

State

Zip

60076

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021