LISA DANIELLE DAHL DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036149318

License Status

ACTIVE

Business

Title

First Name

LISA

Middle

DANIELLE

Last Name

DAHL

Business Name

LISA DANIELLE DAHL DO

Original Issue Date

05/11/2019

Effective Date

05/29/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

05/29/2023