BRIAN PHILLIP DAHL MD - Medical Doctor License in Illinois | # 125054596

BRIAN PHILLIP DAHL MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054596

License Status

EXPIRED

Business

N

Title

MD

First Name

BRIAN

Middle

PHILLIP

Last Name

DAHL

Business Name

BRIAN PHILLIP DAHL MD

Original Issue Date

06/30/2011

Effective Date

06/30/2011

Expiration Date

06/29/2014

State

IL

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

N

LastModifiedDate

03/13/2015