RACHEL WALLACE TELLEZ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036166925

License Status

ACTIVE

Business

Title

First Name

RACHEL

Middle

WALLACE

Last Name

TELLEZ

Business Name

RACHEL WALLACE TELLEZ MD

Original Issue Date

09/07/2023

Effective Date

09/07/2023

Expiration Date

07/31/2026

City

WOODBURY

State

Zip

55129

County

WASHINGTON

Ever Disciplined

LastModifiedDate

09/07/2023