TERESA M KLYSZEJKO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036070681

License Status

INACTIVE

Business

First Name

TERESA M

Last Name

KLYSZEJKO

Business Name

TERESA M KLYSZEJKO

Original Issue Date

06/03/1985

Effective Date

06/03/1985

Expiration Date

07/31/2005

City

AUBURN

State

Zip

04210

County

MAINE

Ever Disciplined

LastModifiedDate

10/09/2006