DOMINIC J TEDESCO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****99

License Status

NOT RENEWED

Business

First Name

DOMINIC J

Last Name

TEDESCO

Suffix

Business Name

DOMINIC J TEDESCO MD

Original Issue Date

09/22/1982

Effective Date

09/22/1982

Expiration Date

07/31/1993

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011