BRUCE E DALL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125015004

License Status

EXPIRED

Business

First Name

BRUCE E

Last Name

DALL

Suffix

Business Name

BRUCE E DALL MD

Original Issue Date

10/08/1982

Effective Date

10/08/1982

Expiration Date

10/01/1984

City

SPRINGFIELD

State

Zip

62708

County

SANGAMON

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

09/22/2006