JESSE TAO BUEDEFELDT-POLLARD MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059896

License Status

EXPIRED

Business

Title

First Name

JESSE

Middle

TAO

Last Name

BUEDEFELDT-POLLARD

Business Name

JESSE TAO BUEDEFELDT-POLLARD MD

Original Issue Date

06/26/2014

Effective Date

06/26/2014

Expiration Date

06/25/2015

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

LastModifiedDate

09/04/2015