LAURIE MICHELLE TEDDER DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****70

License Status

NOT RENEWED

Business

Title

DMD

First Name

LAURIE

Middle

MICHELLE

Last Name

TEDDER

Business Name

LAURIE MICHELLE TEDDER DMD

Original Issue Date

08/16/2011

Effective Date

09/26/2012

Expiration Date

09/30/2015

City

PALOS HEIGHTS

State

Zip

60463

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016