THEODORE EDMUND TE PAS Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036037598

License Status

NOT RENEWED

Business

First Name

THEODORE EDMUND

Last Name

TE PAS

Business Name

THEODORE EDMUND TE PAS

Original Issue Date

12/04/1961

Effective Date

12/04/1961

Expiration Date

07/31/2005

City

EVANSTON

State

Zip

60202

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006