THEODORE SIDNEY WRIGHT JR Medical Doctor License verification

THEODORE SIDNEY WRIGHT JR

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036065761

License Status

NOT RENEWED

Business

First Name

THEODORE SIDNEY

Last Name

WRIGHT JR

Business Name

THEODORE SIDNEY WRIGHT JR

Original Issue Date

12/07/1982

Effective Date

07/22/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60641

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023

Case Number

2020005215

Action

Reprimand

Discipline Start Date

12/07/2020

Discipline Reason

physician and surgeon license reprimanded; must pass EBAS within 12 months and fined $5,000 due to his revocation of his Medicare enrollment and billing privileges by Department of Health and Human Services.