HAROLD E ELLIOTT MD Athletics Professional License verification

Business Entity

NOT RENEWED

License Type

Athletics Professional

Description

ATHLETICS - LICENSED PHYSICIAN

License Number

002020152-0002

License Status

NOT RENEWED

Business

First Name

HAROLD E

Last Name

ELLIOTT

Suffix

Business Name

HAROLD E ELLIOTT MD

Original Issue Date

04/09/1975

Effective Date

04/09/1975

Expiration Date

04/09/1976

City

HARRISBURG

State

Zip

62961

County

SALINE

Ever Disciplined

LastModifiedDate

09/18/2006