TERRI L DALLAS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

NOT RENEWED

Business

Title

First Name

TERRI L

Last Name

DALLAS

Business Name

TERRI L DALLAS MD

Original Issue Date

11/24/1986

Effective Date

06/19/2008

Expiration Date

07/31/2011

City

WOODSTOCK

State

Zip

60098

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020