MELICIEN TETTAMBEL DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036071456

License Status

NOT RENEWED

Business

First Name

MELICIEN

Last Name

TETTAMBEL

Suffix

Business Name

MELICIEN TETTAMBEL DO

Original Issue Date

08/13/1985

Effective Date

04/19/2011

Expiration Date

07/31/2014

City

YAKIMA

State

Zip

98908

County

WASHINGTON STATE

Ever Disciplined

LastModifiedDate

11/17/2014