NINA C ELLENBOGEN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036076631

License Status

INACTIVE

Business

First Name

NINA C

Last Name

ELLENBOGEN

Suffix

Business Name

NINA C ELLENBOGEN MD

Original Issue Date

01/30/1988

Effective Date

01/30/1988

Expiration Date

07/31/1990

City

MIAMI BEACH

State

Zip

33141

County

FLORIDA

Ever Disciplined

LastModifiedDate

09/20/2006