DENISE A TEVES Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036106358

License Status

INACTIVE

Business

First Name

DENISE

Middle

Last Name

TEVES

Business Name

DENISE A TEVES

Original Issue Date

02/25/2002

Effective Date

02/25/2002

Expiration Date

07/31/2005

City

MUNDELEIN

State

Zip

60060

County

LAKE

Ever Disciplined

LastModifiedDate

10/09/2006