RALPH S DIXON Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****69

License Status

NOT RENEWED

Business

First Name

RALPH S

Last Name

DIXON

Business Name

RALPH S DIXON

Original Issue Date

08/25/1983

Effective Date

08/25/1983

Expiration Date

01/31/1985

City

PEORIA

State

Zip

61604

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2006