KEVIN D TETSWORTH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

NOT RENEWED

Business

First Name

KEVIN D

Last Name

TETSWORTH

Suffix

Business Name

KEVIN D TETSWORTH MD

Original Issue Date

08/24/1988

Effective Date

08/24/1988

Expiration Date

07/31/1990

City

CHICAGO

State

Zip

60616

County

COOK

Controlled Substance Schedule

III

Ever Disciplined

LastModifiedDate

09/26/2006