LISA DANIELLE DAHL DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125068071

License Status

CANCELLED

Business

Title

First Name

LISA

Middle

DANIELLE

Last Name

DAHL

Business Name

LISA DANIELLE DAHL DO

Original Issue Date

06/25/2016

Effective Date

06/25/2016

Expiration Date

06/24/2019

City

CHICAGO

State

Zip

60610

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

04/28/2016