MAOXIIM TELLEZ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036117662

License Status

ACTIVE

Business

Title

First Name

MAOXIIM

Last Name

TELLEZ

Business Name

MAOXIIM TELLEZ MD

Original Issue Date

02/21/2007

Effective Date

04/19/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

04/19/2023