DANA L DALBAK Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002948

License Status

ACTIVE

Business

First Name

DANA

Middle

Last Name

DALBAK

Business Name

DANA L DALBAK

Original Issue Date

03/05/2007

Effective Date

12/04/2025

Expiration Date

03/01/2028

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

12/04/2025