TERRI L DALLAS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****82

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

06/19/2008

Expiration Date

07/31/2011

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020