M TERESA C FRASER Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036088897

License Status

ACTIVE

Business

First Name

M TERESA

Middle

Last Name

FRASER

Business Name

M TERESA C FRASER

Original Issue Date

07/07/1994

Effective Date

06/06/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61603

County

PEORIA

Ever Disciplined

LastModifiedDate

06/06/2023