PHILLIP D TEDRICK DO - Medical Doctor License in Maine | # 036057034

PHILLIP D TEDRICK DO

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057034

License Status

NOT RENEWED

Business

N

First Name

PHILLIP D

Last Name

TEDRICK

Suffix

DO

Business Name

PHILLIP D TEDRICK DO

Original Issue Date

07/13/1978

Effective Date

07/13/1978

Expiration Date

07/31/1996

State

ME

Ever Disciplined

N

LastModifiedDate

03/11/2008