EUGENE J DIXON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****72

License Status

NOT RENEWED

Business

First Name

EUGENE J

Last Name

DIXON

Suffix

Business Name

EUGENE J DIXON MD

Original Issue Date

06/10/1991

Effective Date

06/10/1991

Expiration Date

07/31/2008

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008