KEVIN D TETSWORTH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125017422

License Status

EXPIRED

Business

First Name

KEVIN D

Last Name

TETSWORTH

Suffix

Business Name

KEVIN D TETSWORTH MD

Original Issue Date

07/10/1984

Effective Date

07/10/1984

Expiration Date

07/01/1986

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

Addiction Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006