JEFFREY F TUDLA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****55

License Status

NOT RENEWED

Business

First Name

JEFFREY

Middle

Last Name

TUDLA

Prefix

Business Name

JEFFREY F TUDLA

Original Issue Date

08/03/2010

Effective Date

07/06/2011

Expiration Date

07/31/2014

City

PEORIA

State

Zip

61602

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2014