NICOLE GABRIEL TENEGRA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036153194

License Status

ACTIVE

Business

Title

First Name

NICOLE

Middle

GABRIEL

Last Name

TENEGRA

Business Name

NICOLE GABRIEL TENEGRA MD

Original Issue Date

06/01/2020

Effective Date

05/10/2023

Expiration Date

07/31/2026

City

DECATUR

State

Zip

62526

Ever Disciplined

LastModifiedDate

05/10/2023