JORGE A TELLEZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036070792

License Status

NOT RENEWED

Business

First Name

JORGE A

Last Name

TELLEZ

Suffix

Business Name

JORGE A TELLEZ MD

Original Issue Date

06/06/1985

Effective Date

06/06/1985

Expiration Date

07/31/1990

City

VERONA

State

Zip

53593

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006