DOUGLAS ROBERT ELLIOTT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036121350

License Status

NOT RENEWED

Business

Title

First Name

DOUGLAS

Middle

ROBERT

Last Name

ELLIOTT

Business Name

DOUGLAS ROBERT ELLIOTT MD

Original Issue Date

06/30/2008

Effective Date

06/30/2008

Expiration Date

07/31/2011

City

LECLAIRE

State

Zip

52753

County

SCOTT

Ever Disciplined

LastModifiedDate

11/14/2011