JEFFREY RICHARD DAHLEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

ACTIVE

Business

Title

First Name

JEFFREY

Middle

RICHARD

Last Name

DAHLEN

Business Name

JEFFREY RICHARD DAHLEN MD

Original Issue Date

12/06/2023

Effective Date

12/06/2023

Expiration Date

07/31/2026

City

URBANA

State

Zip

61801

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/06/2023