TERRY L DICKERSON Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****18

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

60614

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006