DON RICARDO DICKERSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036139015

License Status

NOT RENEWED

Business

Title

First Name

DON

Middle

RICARDO

Last Name

DICKERSON

Business Name

DON RICARDO DICKERSON MD

Original Issue Date

08/26/2015

Effective Date

07/07/2020

Expiration Date

07/31/2023

City

CHEYENNE

State

Zip

82009

County

WYOMING

Ever Disciplined

LastModifiedDate

11/30/2023