BETH MARIE TERPOLILLI TEEGARDEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****14

License Status

NOT RENEWED

Business

Title

First Name

BETH

Middle

MARIE TERPOLILLI

Last Name

TEEGARDEN

Business Name

BETH MARIE TERPOLILLI TEEGARDEN MD

Original Issue Date

12/13/2012

Effective Date

12/13/2012

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014