TERAKEITH LERTSBURAPA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036152556

License Status

ACTIVE

Business

Title

First Name

TERAKEITH

Last Name

LERTSBURAPA

Business Name

TERAKEITH LERTSBURAPA MD

Original Issue Date

04/14/2020

Effective Date

04/19/2023

Expiration Date

07/31/2026

City

WILLOWBROOK

State

Zip

60527

Ever Disciplined

LastModifiedDate

04/19/2023