Henry Street Dickerman Jr Md
ExpiredIllinois license 036021111
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 036021111
- Status
- Expired (Not Renewed)
- First issued
- December 6, 1935
- Expired
- July 31, 1993
- License holder
- Henry Street Dickerman Jr Md
- Entity type
- Individual
Classifications
- Licensed Physician and Surgeon (Medical Board) Physicians & Surgeons
More from the license record
- Current term began
- 12/06/1935
Other Illinois licenses under this name
-
IL
Henry Street Dickerman Jr MdLicense 33*****32Licensed Physician Controlled Substance (Medical Board)ExpiredSpringfield, ILExpired Jul 31, 1993
Contact
Springfield, IL 62704
Sangamon County