CAROLINE J TETER - Physician Assistant License in Illinois | # 085000465

CAROLINE J TETER

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000465

License Status

INACTIVE

Business

N

First Name

CAROLINE

Middle

J

Last Name

TETER

Business Name

CAROLINE J TETER

Original Issue Date

08/18/1991

Effective Date

12/24/2019

Expiration Date

03/01/2022

State

IL

Ever Disciplined

N

LastModifiedDate

01/22/2022