MAGDALENE TIKUN TEBA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

ACTIVE

Business

Title

First Name

MAGDALENE

Middle

TIKUN

Last Name

TEBA

Business Name

MAGDALENE TIKUN TEBA MD

Original Issue Date

03/28/2024

Effective Date

03/28/2024

Expiration Date

07/31/2026

City

CENTREVILLE

State

Zip

62207

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/24/2026