License holder summary

JAVIER ANDRES TELLAGORRY is a Graduate Medical Trainee licensed to practice in Pennsylvania. The address on file for JAVIER ANDRES TELLAGORRY is Lakewood OH 44107. This medical practitioner license is current. The license was granted 06/01/2011 and expired on 06/30/2016.

Department of State

Board of Medicine

JAVIER ANDRES TELLAGORRY
Graduate Medical Trainee
License number
MT200112
Date granted
06/01/2011
Date expires
06/30/2016
Class
Graduate Medical Trainee
Status
Active
Address
Lakewood OH 44107
medicinepa.com
ID 37573446
LAST UPDATED 2026-05-18 04:33:00 UTC

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