KENNETH H TELLERMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036064459

License Status

NOT RENEWED

Business

First Name

KENNETH H

Last Name

TELLERMAN

Suffix

Business Name

KENNETH H TELLERMAN MD

Original Issue Date

06/17/1982

Effective Date

06/17/1982

Expiration Date

07/31/1984

City

OAK PARK

State

Zip

60602

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006