TELLY M BARRETA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036050526

License Status

NOT RENEWED

Business

First Name

TELLY M

Last Name

BARRETA

Suffix

Business Name

TELLY M BARRETA MD

Original Issue Date

02/25/1975

Effective Date

04/11/2017

Expiration Date

09/30/2020

City

GURNEE

State

Zip

60031

County

LAKE

Ever Disciplined

LastModifiedDate

01/14/2021