CAROLINE J TETER Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000465

License Status

INACTIVE

Business

First Name

CAROLINE

Middle

Last Name

TETER

Business Name

CAROLINE J TETER

Original Issue Date

08/18/1991

Effective Date

12/24/2019

Expiration Date

03/01/2022

City

NORTH RIVERSIDE

State

Zip

60546

County

COOK

Ever Disciplined

LastModifiedDate

01/22/2022