TERRI L DALLAS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

ACTIVE

Business

Title

First Name

TERRI L

Last Name

DALLAS

Business Name

TERRI L DALLAS MD

Original Issue Date

02/03/2011

Effective Date

06/17/2023

Expiration Date

07/31/2026

City

ITASCA

State

Zip

60143

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/17/2023