DAVID MICHAEL DICKERSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

ACTIVE

Business

Title

First Name

DAVID

Middle

MICHAEL

Last Name

DICKERSON

Business Name

DAVID MICHAEL DICKERSON MD

Original Issue Date

04/23/2013

Effective Date

06/23/2023

Expiration Date

07/31/2026

City

EVANSTON

State

Zip

60201

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/23/2023