MICHAEL RICHARD TEDNES JR MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125072133

License Status

CANCELLED

Business

Title

First Name

MICHAEL

Middle

RICHARD

Last Name

TEDNES JR

Business Name

MICHAEL RICHARD TEDNES JR MD

Original Issue Date

06/25/2018

Effective Date

06/25/2018

Expiration Date

06/24/2021

City

WINFIELD

State

Zip

60190

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

04/26/2018