ANDREW MICHAEL DAHLEM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****09

License Status

ACTIVE

Business

Title

First Name

ANDREW

Middle

MICHAEL

Last Name

DAHLEM

Business Name

ANDREW MICHAEL DAHLEM MD

Original Issue Date

08/14/2015

Effective Date

06/19/2023

Expiration Date

07/31/2026

City

NILES

State

Zip

60714

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/19/2023