THEODORE FREDERICK ELSAESSER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059647

License Status

EXPIRED

Business

Title

First Name

THEODORE

Middle

FREDERICK

Last Name

ELSAESSER

Business Name

THEODORE FREDERICK ELSAESSER MD

Original Issue Date

06/23/2014

Effective Date

06/23/2014

Expiration Date

06/22/2015

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/04/2015