LEIF M DAHLEEN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036116353

License Status

INACTIVE

Business

First Name

LEIF

Middle

Last Name

DAHLEEN

Suffix

Business Name

LEIF M DAHLEEN MD

Original Issue Date

06/30/2006

Effective Date

05/11/2011

Expiration Date

07/31/2014

City

BRAINERD

State

Zip

56401

County

MINNESOTA

Ever Disciplined

LastModifiedDate

04/08/2014