TERESA J SIEBENECK Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125020951

License Status

EXPIRED

Business

First Name

TERESA J

Last Name

SIEBENECK

Business Name

TERESA J SIEBENECK

Original Issue Date

05/23/1987

Effective Date

05/23/1987

Expiration Date

06/30/1990

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006