TERESA L OTA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125022224

License Status

EXPIRED

Business

First Name

TERESA L

Last Name

OTA

Suffix

Business Name

TERESA L OTA MD

Original Issue Date

05/11/1988

Effective Date

05/11/1988

Expiration Date

06/22/1991

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006