GABRIEL JOSE TELOT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036034984

License Status

NOT RENEWED

Business

First Name

GABRIEL JOSE

Last Name

TELOT

Suffix

Business Name

GABRIEL JOSE TELOT MD

Original Issue Date

11/26/1957

Effective Date

05/10/2011

Expiration Date

07/31/2014

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

11/17/2014

Case Number

2013000270

Action

Surrender In Lieu Of Other Discipline

Discipline Start Date

03/03/2014

Discipline Reason

after surrendered DEA Registration for cause.