CATHERINE DIASANTA TEODORO MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054100

License Status

CANCELLED

Business

Title

First Name

CATHERINE

Middle

DIASANTA

Last Name

TEODORO

Business Name

CATHERINE DIASANTA TEODORO MD

Original Issue Date

07/01/2008

Effective Date

07/01/2008

Expiration Date

06/30/2011

City

PANA

State

Zip

62557

County

CHRISTIAN

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/07/2008