LISA DANIELLE DAHL DO - Medical Doctor License in Illinois | # 125068071

LISA DANIELLE DAHL DO

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125068071

License Status

CANCELLED

Business

N

Title

DO

First Name

LISA

Middle

DANIELLE

Last Name

DAHL

Business Name

LISA DANIELLE DAHL DO

Original Issue Date

06/25/2016

Effective Date

06/25/2016

Expiration Date

06/24/2019

State

IL

Specialty/Qualifier

Family Medicine

Ever Disciplined

N

LastModifiedDate

04/28/2016