MICHAEL RICHARD TEDNES JR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

ACTIVE

Business

Title

First Name

MICHAEL

Middle

RICHARD

Last Name

TEDNES JR

Business Name

MICHAEL RICHARD TEDNES JR MD

Original Issue Date

10/21/2020

Effective Date

04/09/2023

Expiration Date

07/31/2026

City

OAK LAWN

State

Zip

60453

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/09/2023