BOBY GEORGE THECKEDATH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036105114

License Status

ACTIVE

Business

First Name

BOBY

Middle

GEORGE

Last Name

THECKEDATH

Suffix

Business Name

BOBY GEORGE THECKEDATH MD

Original Issue Date

07/05/2001

Effective Date

06/02/2023

Expiration Date

07/31/2026

City

KENOSHA

State

Zip

53142

Ever Disciplined

LastModifiedDate

06/02/2023