JASCHA O TEIBEL DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****24

License Status

NOT RENEWED

Business

Title

DPM

First Name

JASCHA

Middle

Last Name

TEIBEL

Business Name

JASCHA O TEIBEL DPM

Original Issue Date

06/24/2021

Effective Date

06/24/2021

Expiration Date

01/31/2023

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/31/2023