PHILLIP D TEDRICK DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****94

License Status

NOT RENEWED

Business

First Name

PHILLIP D

Last Name

TEDRICK

Suffix

Business Name

PHILLIP D TEDRICK DO

Original Issue Date

01/01/1997

Expiration Date

07/31/1996

City

ANNA

State

Zip

62906

County

UNION

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006