MICHAEL STEVEN LINDAHL DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****28

License Status

NOT RENEWED

Business

Title

First Name

MICHAEL

Middle

STEVEN

Last Name

LINDAHL

Business Name

MICHAEL STEVEN LINDAHL DO

Original Issue Date

12/02/2016

Effective Date

04/11/2017

Expiration Date

09/30/2020

City

PEORIA

State

Zip

61604

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021