HERMAN JUSTUS DICK JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****78

License Status

NOT RENEWED

Business

First Name

HERMAN JUSTUS

Last Name

DICK JR

Suffix

Business Name

HERMAN JUSTUS DICK JR MD

Original Issue Date

01/01/1997

Effective Date

08/27/2020

Expiration Date

07/31/2023

City

BLOOMINGTON

State

Zip

61702

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023