CHARLES JAN DYKE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****93

License Status

NOT RENEWED

Business

First Name

CHARLES JAN

Last Name

DYKE

Suffix

Business Name

CHARLES JAN DYKE MD

Original Issue Date

01/01/1997

Expiration Date

07/31/2002

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006