ELEONORA HACKMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110911

License Status

NOT RENEWED

Business

First Name

ELEONORA

Last Name

HACKMAN

Suffix

Business Name

ELEONORA HACKMAN MD

Original Issue Date

03/03/2004

Effective Date

05/16/2014

Expiration Date

07/31/2017

City

PORT CHARLOTTE

State

Zip

33952

County

FLORIDA

Ever Disciplined

LastModifiedDate

11/01/2017