TERRI L DALLAS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****83

License Status

ACTIVE

Business

Title

First Name

TERRI L

Last Name

DALLAS

Business Name

TERRI L DALLAS MD

Original Issue Date

09/16/2002

Effective Date

06/17/2023

Expiration Date

07/31/2026

City

ELGIN

State

Zip

60120

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/17/2023