TERRY L KELLENBERGER MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036071104

License Status

INACTIVE

Business

First Name

TERRY L

Last Name

KELLENBERGER

Suffix

Business Name

TERRY L KELLENBERGER MD

Original Issue Date

07/02/1985

Effective Date

07/02/1985

Expiration Date

07/31/1987

City

FOUNTAIN VALLEY

State

Zip

92708

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

09/20/2006