DAVID ANDREW TERRELL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064960

License Status

EXPIRED

Business

Title

First Name

DAVID

Middle

ANDREW

Last Name

TERRELL

Business Name

DAVID ANDREW TERRELL MD

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

06/30/2018

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Ophthalmology

Ever Disciplined

LastModifiedDate

10/25/2018