KYLE TEGTMEYER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125077673

License Status

EXPIRED

Business

Title

First Name

KYLE

Last Name

TEGTMEYER

Business Name

KYLE TEGTMEYER MD

Original Issue Date

06/22/2021

Effective Date

06/22/2021

Expiration Date

06/21/2022

City

BERWYN

State

Zip

60402

Specialty/Qualifier

Transitional Year

Ever Disciplined

LastModifiedDate

10/11/2022