MELICIEN TETTAMBEL DO - Medical Doctor License in Washington | # 036071456

MELICIEN TETTAMBEL DO

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036071456

License Status

NOT RENEWED

Business

N

First Name

MELICIEN

Last Name

TETTAMBEL

Suffix

DO

Business Name

MELICIEN TETTAMBEL DO

Original Issue Date

08/13/1985

Effective Date

04/19/2011

Expiration Date

07/31/2014

State

WA

Ever Disciplined

N

LastModifiedDate

11/17/2014