JUAN L TELLEZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

NOT RENEWED

Business

First Name

JUAN

Middle

Last Name

TELLEZ

Suffix

Business Name

JUAN L TELLEZ MD

Original Issue Date

10/02/1998

Effective Date

07/22/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60617

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023