ELENA NGO GRACIOSA MD - Medical Doctor License in Wisconsin | # 036064681

ELENA NGO GRACIOSA MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036064681

License Status

INACTIVE

Business

N

First Name

ELENA NGO

Last Name

GRACIOSA

Suffix

MD

Business Name

ELENA NGO GRACIOSA MD

Original Issue Date

06/28/1982

Effective Date

06/28/1982

Expiration Date

07/31/1987

State

WI

Ever Disciplined

N

LastModifiedDate

09/20/2006