TERESA T ETTEN Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125037805

License Status

CANCELLED

Business

First Name

TERESA

Middle

Last Name

ETTEN

Business Name

TERESA T ETTEN

Original Issue Date

07/01/1998

Effective Date

07/01/1998

Expiration Date

06/30/2002

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/22/2006