PHILLIP D TEDRICK DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057034

License Status

NOT RENEWED

Business

First Name

PHILLIP D

Last Name

TEDRICK

Suffix

Business Name

PHILLIP D TEDRICK DO

Original Issue Date

07/13/1978

Effective Date

07/13/1978

Expiration Date

07/31/1996

City

MANCHESTER

State

Zip

04351

County

MAINE

Ever Disciplined

LastModifiedDate

03/11/2008