TERESA J SIEBENECK Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****91

License Status

NOT RENEWED

Business

First Name

TERESA J

Last Name

SIEBENECK

Business Name

TERESA J SIEBENECK

Original Issue Date

06/28/1990

Effective Date

06/28/1990

Expiration Date

07/31/2002

City

RIVER FOREST

State

Zip

60305

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020