JOHN G DALLE DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036127973

License Status

NOT RENEWED

Business

Title

First Name

JOHN

Middle

Last Name

DALLE

Business Name

JOHN G DALLE DO

Original Issue Date

06/01/2011

Effective Date

06/01/2011

Expiration Date

07/31/2014

City

ST. CLOUD

State

Zip

56301

County

MINNESOTA

Ever Disciplined

LastModifiedDate

11/17/2014