THEODORE BRETT JEFFERSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112824

License Status

ACTIVE

Business

First Name

THEODORE

Middle

BRETT

Last Name

JEFFERSON

Suffix

Business Name

THEODORE BRETT JEFFERSON MD

Original Issue Date

12/28/2004

Effective Date

07/15/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

07/15/2023