TESSA MADDEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036147811

License Status

NOT RENEWED

Business

Title

First Name

TESSA

Last Name

MADDEN

Business Name

TESSA MADDEN MD

Original Issue Date

12/05/2018

Effective Date

05/29/2020

Expiration Date

07/31/2023

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

11/30/2023