RICHARD DOUGLAS DICKINSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036150531

License Status

ACTIVE

Business

Title

First Name

RICHARD

Middle

DOUGLAS

Last Name

DICKINSON

Business Name

RICHARD DOUGLAS DICKINSON MD

Original Issue Date

08/20/2019

Effective Date

07/19/2023

Expiration Date

07/31/2026

City

MILLER PLACE

State

Zip

11764

Ever Disciplined

LastModifiedDate

10/24/2023