LARRY STEVEN LINDAHL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****52

License Status

NOT RENEWED

Business

First Name

LARRY

Middle

STEVEN

Last Name

LINDAHL

Suffix

Business Name

LARRY STEVEN LINDAHL MD

Original Issue Date

08/24/1999

Effective Date

05/30/2017

Expiration Date

09/30/2020

City

PEORIA

State

Zip

61603

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021