ADAM TODD DICKLER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

ACTIVE

Business

First Name

ADAM

Middle

TODD

Last Name

DICKLER

Suffix

Business Name

ADAM TODD DICKLER MD

Original Issue Date

01/10/2003

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2023