TYLER CARNAHAN DIXON DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036157380

License Status

NOT RENEWED

Business

Title

First Name

TYLER

Middle

CARNAHAN

Last Name

DIXON

Business Name

TYLER CARNAHAN DIXON DO

Original Issue Date

06/11/2021

Effective Date

06/11/2021

Expiration Date

07/31/2023

City

PLEASANT VIEW

State

Zip

84414

Ever Disciplined

LastModifiedDate

11/30/2023