SHELLY TAYLOR DIXON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****83

License Status

ACTIVE

Business

First Name

SHELLY

Middle

TAYLOR

Last Name

DIXON

Suffix

Business Name

SHELLY TAYLOR DIXON MD

Original Issue Date

07/26/2004

Effective Date

04/24/2023

Expiration Date

07/31/2026

City

HARVEY

State

Zip

60426

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/24/2023