JUAN L TELLEZ MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125033496

License Status

EXPIRED

Business

First Name

JUAN

Middle

Last Name

TELLEZ

Suffix

Business Name

JUAN L TELLEZ MD

Original Issue Date

06/21/1995

Effective Date

06/21/1995

Expiration Date

06/30/1998

City

CHICAGO

State

Zip

60622

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006