TERRY L DICKERSON Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016004919

License Status

NOT RENEWED

Business

First Name

TERRY

Middle

Last Name

DICKERSON

Business Name

TERRY L DICKERSON

Original Issue Date

07/13/1999

Effective Date

07/13/1999

Expiration Date

01/31/2001

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006