THOMAS K DAHLBERG DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

ACTIVE

Business

First Name

THOMAS K

Last Name

DAHLBERG

Suffix

Business Name

THOMAS K DAHLBERG DO

Original Issue Date

05/24/1995

Effective Date

05/06/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/06/2023