ERIC R DAHLGREN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125014875

License Status

EXPIRED

Business

First Name

ERIC

Middle

Last Name

DAHLGREN

Business Name

ERIC R DAHLGREN

Original Issue Date

07/28/1982

Effective Date

07/28/1982

Expiration Date

07/01/1984

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006