TERESITA DEDIOS AVILA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036045193

License Status

NOT RENEWED

Business

First Name

TERESITA DEDIOS

Last Name

AVILA

Suffix

Business Name

TERESITA DEDIOS AVILA MD

Original Issue Date

02/04/1972

Effective Date

06/20/2014

Expiration Date

07/31/2017

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/01/2017