TED R ALTENAU MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036067893

License Status

NOT RENEWED

Business

First Name

TED R

Last Name

ALTENAU

Suffix

Business Name

TED R ALTENAU MD

Original Issue Date

11/07/1983

Effective Date

11/07/1983

Expiration Date

07/31/1987

City

PEORIA HEIGHTS

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

09/20/2006