LAURICE DIXON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000682

License Status

NOT RENEWED

Business

First Name

LAURICE

Last Name

DIXON

Business Name

LAURICE DIXON

Original Issue Date

04/05/1995

Effective Date

04/05/1995

Expiration Date

03/01/2000

City

CHICAGO

State

Zip

60628

County

COOK

Ever Disciplined

LastModifiedDate

09/26/2006