ANDREAS DAHL Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****34

License Status

NOT RENEWED

Business

First Name

ANDREAS

Last Name

DAHL

Business Name

ANDREAS DAHL

Original Issue Date

01/01/1998

Expiration Date

09/30/1984

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

10/13/2005