JASCHA O TEIBEL DPM Podiatrist License verification

Business Entity

CANCELLED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135001087

License Status

CANCELLED

Business

Title

DPM

First Name

JASCHA

Middle

Last Name

TEIBEL

Business Name

JASCHA O TEIBEL DPM

Original Issue Date

06/05/2020

Effective Date

06/15/2020

Expiration Date

06/14/2023

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2020