ELTON WADE DIXON 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

Title

First Name

ELTON

Middle

WADE

Last Name

DIXON

Business Name

ELTON WADE DIXON MD

Original Issue Date

10/13/1998

Effective Date

06/12/2017

Expiration Date

09/30/2020

City

TINLEY PARK

State

Zip

60477

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021