B TED FIELD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036063332

License Status

NOT RENEWED

Business

First Name

B TED

Last Name

FIELD

Suffix

Business Name

B TED FIELD MD

Original Issue Date

10/01/1981

Effective Date

10/01/1981

Expiration Date

07/31/1987

City

CHICAGO

State

Zip

60626

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006