TED BENDEREV MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036062468

License Status

NOT RENEWED

Business

First Name

TED

Last Name

BENDEREV

Suffix

Business Name

TED BENDEREV MD

Original Issue Date

07/10/1981

Effective Date

07/10/1981

Expiration Date

07/31/1987

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006