DANIEL ROBERT WAHLSTROM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036170744

License Status

ACTIVE

Business

Title

First Name

DANIEL

Middle

ROBERT

Last Name

WAHLSTROM

Business Name

DANIEL ROBERT WAHLSTROM MD

Original Issue Date

06/25/2024

Effective Date

06/25/2024

Expiration Date

07/31/2026

City

HINSDALE

State

Zip

60521

County

DUPAGE

Ever Disciplined

LastModifiedDate

06/21/2024