MICHAEL W TERKILDSEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****78

License Status

ACTIVE

Business

First Name

MICHAEL

Middle

Last Name

TERKILDSEN

Suffix

Business Name

MICHAEL W TERKILDSEN MD

Original Issue Date

01/08/2002

Effective Date

06/22/2023

Expiration Date

07/31/2026

City

LAKE BLUFF

State

Zip

60044

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/22/2023