KRISTI S DICKSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

NOT RENEWED

Business

First Name

KRISTI S

Last Name

DICKSON

Suffix

Business Name

KRISTI S DICKSON MD

Original Issue Date

05/24/1995

Effective Date

05/24/1995

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60602

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006