GLENDA M DAHLQUIST Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125023020

License Status

EXPIRED

Business

First Name

GLENDA

Middle

Last Name

DAHLQUIST

Business Name

GLENDA M DAHLQUIST

Original Issue Date

07/12/1988

Effective Date

07/12/1988

Expiration Date

07/01/1991

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006