ANTHONY J TEDESCHI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

NOT RENEWED

Business

First Name

ANTHONY J

Last Name

TEDESCHI

Suffix

Business Name

ANTHONY J TEDESCHI MD

Original Issue Date

03/17/1997

Effective Date

03/17/1997

Expiration Date

07/31/2005

City

ST CHARLES

State

Zip

60174

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020