BRUCE ELKIN ELLERIN MD - Medical Doctor License in Missouri | # 036128337

BRUCE ELKIN ELLERIN MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036128337

License Status

NOT RENEWED

Business

N

Title

MD

First Name

BRUCE

Middle

ELKIN

Last Name

ELLERIN

Business Name

BRUCE ELKIN ELLERIN MD

Original Issue Date

07/05/2011

Effective Date

07/05/2011

Expiration Date

07/31/2014

State

MO

Ever Disciplined

N

LastModifiedDate

11/17/2014