TERESA LYNN GOEPFERT DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051406

License Status

CANCELLED

Business

First Name

TERESA

Middle

LYNN

Last Name

GOEPFERT

Suffix

Business Name

TERESA LYNN GOEPFERT DO

Original Issue Date

06/21/2006

Effective Date

06/21/2006

Expiration Date

06/20/2009

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/22/2006