DAPHNE S TESSALEE Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

License Status

ACTIVE

Business

First Name

DAPHNE S

Last Name

TESSALEE

Business Name

DAPHNE S TESSALEE

Original Issue Date

06/19/1997

Effective Date

04/21/2023

Expiration Date

07/31/2026

City

LA GRANGE

State

Zip

60525

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/21/2023