JESSE TAO BUEDEFELDT-POLLARD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****89

License Status

ACTIVE

Business

Title

First Name

JESSE

Middle

TAO

Last Name

BUEDEFELDT-POLLARD

Business Name

JESSE TAO BUEDEFELDT-POLLARD MD

Original Issue Date

05/24/2016

Effective Date

07/06/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/06/2023