TERESA M CVENGROS Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125031187

License Status

EXPIRED

Business

First Name

TERESA M

Last Name

CVENGROS

Business Name

TERESA M CVENGROS

Original Issue Date

05/16/1994

Effective Date

05/16/1994

Expiration Date

06/30/1997

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006