DELLICE M DICKHAUS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036116377

License Status

NOT RENEWED

Business

First Name

DELLICE

Middle

Last Name

DICKHAUS

Suffix

Business Name

DELLICE M DICKHAUS MD

Original Issue Date

07/03/2006

Effective Date

04/13/2017

Expiration Date

09/30/2020

City

SAINT LOUIS

State

Zip

63141

County

MISSOURI

Ever Disciplined

LastModifiedDate

01/14/2021