RENEELYNN MONICA DIXON Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****24

License Status

ACTIVE

Business

First Name

RENEELYNN

Middle

MONICA

Last Name

DIXON

Business Name

RENEELYNN MONICA DIXON

Original Issue Date

04/12/2011

Effective Date

07/24/2023

Expiration Date

07/31/2026

City

BLOOMINGTON

State

Zip

47408

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/24/2023