CARL LEROY DAHL Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070001566

License Status

NOT RENEWED

Business

First Name

CARL LEROY

Last Name

DAHL

Business Name

CARL LEROY DAHL

Original Issue Date

05/03/1972

Effective Date

05/03/1972

City

HINSDALE

State

Zip

60521

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/14/2005