BETH MARIE TERPOLILLI TEEGARDEN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060326

License Status

CANCELLED

Business

Title

First Name

BETH

Middle

MARIE TERPOLILLI

Last Name

TEEGARDEN

Business Name

BETH MARIE TERPOLILLI TEEGARDEN MD

Original Issue Date

07/01/2011

Effective Date

07/01/2011

Expiration Date

06/30/2014

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

06/16/2011