CATHERINE DIASANTA TEODORO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****82

License Status

ACTIVE

Business

Title

First Name

CATHERINE

Middle

DIASANTA

Last Name

TEODORO

Business Name

CATHERINE DIASANTA TEODORO MD

Original Issue Date

02/08/2011

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

PANA

State

Zip

62557

County

CHRISTIAN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2023