TEDDY TRAN DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125076195

License Status

EXPIRED

Business

Title

First Name

TEDDY

Last Name

TRAN

Business Name

TEDDY TRAN DO

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2021

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Transitional Year

Ever Disciplined

LastModifiedDate

10/11/2022