DALE CONRAD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125086668

License Status

ACTIVE

Business

Title

First Name

DALE

Last Name

CONRAD

Business Name

DALE CONRAD MD

Original Issue Date

07/01/2025

Effective Date

07/01/2025

Expiration Date

06/30/2028

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

06/13/2025