LARRY STEVEN LINDAHL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****78

License Status

ACTIVE

Business

First Name

LARRY

Middle

STEVEN

Last Name

LINDAHL

Suffix

Business Name

LARRY STEVEN LINDAHL MD

Original Issue Date

01/01/1997

Effective Date

06/27/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61637

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/27/2023