TERRA CELESTE CAUDILL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****53

License Status

ACTIVE

Business

Title

First Name

TERRA

Middle

CELESTE

Last Name

CAUDILL

Business Name

TERRA CELESTE CAUDILL MD

Original Issue Date

08/14/2009

Effective Date

07/29/2023

Expiration Date

07/31/2026

City

BOCA RATON

State

Zip

33432

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/29/2023