CAROLINE J TETER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****02

License Status

NOT RENEWED

Business

First Name

CAROLINE

Middle

Last Name

TETER

Business Name

CAROLINE J TETER

Original Issue Date

10/03/2011

Effective Date

01/22/2022

Expiration Date

03/01/2024

City

CHICAGO

State

Zip

60611

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025