TERRI L DALLAS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****81

License Status

NOT RENEWED

Business

Title

First Name

TERRI L

Last Name

DALLAS

Business Name

TERRI L DALLAS MD

Original Issue Date

09/16/2002

Effective Date

06/13/2017

Expiration Date

09/30/2020

City

MCHENRY

State

Zip

60050

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021