MARY FAITH C TERKILDSEN Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****95

License Status

ACTIVE

Business

First Name

MARY FAITH

Middle

Last Name

TERKILDSEN

Business Name

MARY FAITH C TERKILDSEN

Original Issue Date

05/06/2002

Effective Date

05/10/2023

Expiration Date

07/31/2026

City

VERNON HILLS

State

Zip

60061

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/10/2023