THEODORE D FIFER MD Medical Doctor License verification

THEODORE D FIFER MD

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036084136

License Status

ACTIVE

Business

First Name

THEODORE D

Last Name

FIFER

Suffix

Business Name

THEODORE D FIFER MD

Original Issue Date

03/19/1992

Effective Date

04/10/2023

Expiration Date

07/31/2026

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

04/10/2023

Case Number

2020005221

Action

Fine

Discipline Start Date

05/30/2021

Discipline Reason

physician and surgeon license reprimanded, must pass EBAS and fined $2,500 due to deficiencies in documentation and care of patients in his practice which led to an Integrity Agreement with the Illinois Department of Healthcare and Family Services in July 2020.