DOMINIC J TEDESCO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125012480

License Status

EXPIRED

Business

First Name

DOMINIC J

Last Name

TEDESCO

Suffix

Business Name

DOMINIC J TEDESCO MD

Original Issue Date

06/17/1981

Effective Date

06/17/1981

Expiration Date

06/24/1983

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Addiction Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006