ERIC SHAWN TELLER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036163651

License Status

ACTIVE

Business

Title

First Name

ERIC

Middle

SHAWN

Last Name

TELLER

Business Name

ERIC SHAWN TELLER MD

Original Issue Date

02/10/2023

Effective Date

07/18/2023

Expiration Date

07/31/2026

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Ever Disciplined

LastModifiedDate

07/18/2023