ELENA GEOLLEGUE EZPELETA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036060415

License Status

NOT RENEWED

Business

First Name

ELENA GEOLLEGUE

Last Name

EZPELETA

Suffix

Business Name

ELENA GEOLLEGUE EZPELETA MD

Original Issue Date

06/26/1980

Effective Date

06/26/1980

Expiration Date

07/31/2002

City

ANAHEIM

State

Zip

92804

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

10/09/2006