GLENDA M DAHLQUIST - Medical Doctor License in Illinois | # 125023020

GLENDA M DAHLQUIST

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125023020

License Status

EXPIRED

Business

N

First Name

GLENDA

Middle

M

Last Name

DAHLQUIST

Business Name

GLENDA M DAHLQUIST

Original Issue Date

07/12/1988

Effective Date

07/12/1988

Expiration Date

07/01/1991

State

IL

Specialty/Qualifier

Anesthesiology

Ever Disciplined

N

LastModifiedDate

09/22/2006