ANTHONY JOHN PELEZO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036094326

License Status

NOT RENEWED

Business

First Name

ANTHONY JOHN

Last Name

PELEZO

Suffix

Business Name

ANTHONY JOHN PELEZO MD

Original Issue Date

10/07/1996

Effective Date

10/07/1996

Expiration Date

07/31/2005

City

INDIANAPOLIS

State

Zip

46204

County

INDIANA

Ever Disciplined

LastModifiedDate

11/30/2006