TEENA ELIZABETH JOHN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048464

License Status

EXPIRED

Business

First Name

TEENA

Middle

ELIZABETH

Last Name

JOHN

Suffix

Business Name

TEENA ELIZABETH JOHN MD

Original Issue Date

06/24/2004

Effective Date

06/24/2004

Expiration Date

06/23/2007

City

SPRINGFIELD

State

Zip

62704

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

07/03/2007