ELISABETH LOGAN STARK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036170933

License Status

ACTIVE

Business

Title

First Name

ELISABETH

Middle

LOGAN

Last Name

STARK

Business Name

ELISABETH LOGAN STARK MD

Original Issue Date

07/03/2024

Effective Date

07/03/2024

Expiration Date

07/31/2026

City

NEW HAVEN

State

Zip

06511

Ever Disciplined

LastModifiedDate

06/24/2024