RONALD THEODORE ZELLEM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036126939

License Status

NOT RENEWED

Business

First Name

RONALD

Middle

THEODORE

Last Name

ZELLEM

Suffix

Business Name

RONALD THEODORE ZELLEM MD

Original Issue Date

12/02/2010

Effective Date

10/19/2017

Expiration Date

09/30/2020

City

HENDERSONVILLE

State

Zip

37075

County

TENNESSEE

Ever Disciplined

LastModifiedDate

01/14/2021