MARY MIDDLETON DAHL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036038775

License Status

NOT RENEWED

Business

First Name

MARY MIDDLETON

Last Name

DAHL

Suffix

Business Name

MARY MIDDLETON DAHL MD

Original Issue Date

11/26/1963

Effective Date

11/26/1963

City

SALT LAKE CITY

State

Zip

84106

County

UTAH

Ever Disciplined

LastModifiedDate

09/20/2006