DONALD WILLIAM DIXON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

NOT RENEWED

Business

Title

First Name

DONALD

Middle

WILLIAM

Last Name

DIXON

Business Name

DONALD WILLIAM DIXON MD

Original Issue Date

03/07/1990

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

BERWYN

State

Zip

60402

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011