WHITNEY LANE DIXON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****10

License Status

NOT RENEWED

Business

First Name

WHITNEY

Middle

LANE

Last Name

DIXON

Business Name

WHITNEY LANE DIXON

Original Issue Date

02/11/2015

Effective Date

02/11/2015

Expiration Date

03/01/2016

City

OAKBROOK TERRACE

State

Zip

60181

County

DUPAGE

Ever Disciplined

LastModifiedDate

04/25/2016