GERALD H DIXON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****76

License Status

NOT RENEWED

Business

First Name

GERALD

Middle

Last Name

DIXON

Suffix

Business Name

GERALD H DIXON MD

Original Issue Date

06/28/2000

Effective Date

06/05/2014

Expiration Date

07/31/2017

City

PEORIA

State

Zip

61614

County

PEORIA

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

11/01/2017