ERIC TIEDE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036159792

License Status

ACTIVE

Business

Title

First Name

ERIC

Last Name

TIEDE

Business Name

ERIC TIEDE MD

Original Issue Date

03/15/2022

Effective Date

05/20/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2023