JEFFREY J TEUTEBERG Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

NOT RENEWED

Business

First Name

JEFFREY

Middle

Last Name

TEUTEBERG

Business Name

JEFFREY J TEUTEBERG

Original Issue Date

02/01/2000

Effective Date

02/01/2000

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006