JUAN L TELLEZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036098451

License Status

NOT RENEWED

Business

First Name

JUAN

Middle

Last Name

TELLEZ

Suffix

Business Name

JUAN L TELLEZ MD

Original Issue Date

07/27/1998

Effective Date

07/22/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60617

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023