JORGE A TELLEZ MD - Medical Doctor License in Wisconsin | # 036070792

JORGE A TELLEZ MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036070792

License Status

NOT RENEWED

Business

N

First Name

JORGE A

Last Name

TELLEZ

Suffix

MD

Business Name

JORGE A TELLEZ MD

Original Issue Date

06/06/1985

Effective Date

06/06/1985

Expiration Date

07/31/1990

State

WI

Ever Disciplined

N

LastModifiedDate

09/20/2006