JERRY HARVEY TITEL MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036040511

License Status

INACTIVE

Business

First Name

JERRY HARVEY

Last Name

TITEL

Suffix

Business Name

JERRY HARVEY TITEL MD

Original Issue Date

07/05/1966

Effective Date

07/05/1966

Expiration Date

07/31/1999

City

ALPHARETTA

State

Zip

30005

Ever Disciplined

LastModifiedDate

04/10/2007