MA TESSIE A BEDUYA-PRINCER Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

NOT RENEWED

Business

First Name

MA TESSIE A

Last Name

BEDUYA-PRINCER

Business Name

MA TESSIE A BEDUYA-PRINCER

Original Issue Date

09/05/1995

Effective Date

09/05/1995

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60660

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2017