GREGORY JOHN OPDAHL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054737

License Status

EXPIRED

Business

Title

First Name

GREGORY

Middle

JOHN

Last Name

OPDAHL

Business Name

GREGORY JOHN OPDAHL MD

Original Issue Date

06/23/2008

Effective Date

06/23/2008

Expiration Date

06/22/2009

City

CHICAGO

State

Zip

60631

County

COOK

Specialty/Qualifier

Transitional Year

Ever Disciplined

LastModifiedDate

07/15/2009