JEFFREY RICHARD DAHLEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036167523

License Status

ACTIVE

Business

Title

First Name

JEFFREY

Middle

RICHARD

Last Name

DAHLEN

Business Name

JEFFREY RICHARD DAHLEN MD

Original Issue Date

10/30/2023

Effective Date

10/30/2023

Expiration Date

07/31/2026

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/25/2023