NATASHA ADELLE TELESFORD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036169998

License Status

ACTIVE

Business

Title

First Name

NATASHA

Middle

ADELLE

Last Name

TELESFORD

Business Name

NATASHA ADELLE TELESFORD MD

Original Issue Date

04/25/2024

Effective Date

04/25/2024

Expiration Date

07/31/2026

City

SOUTH ORANGE

State

Zip

07079

Ever Disciplined

LastModifiedDate

04/25/2024