TOMAS DE SANTIS TREDICI MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036139111

License Status

INACTIVE

Business

Title

First Name

TOMAS

Middle

DE SANTIS

Last Name

TREDICI

Business Name

TOMAS DE SANTIS TREDICI MD

Original Issue Date

09/17/2015

Effective Date

09/17/2015

Expiration Date

07/31/2017

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

04/12/2017