ELMA O SIA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036071464

License Status

NOT RENEWED

Business

First Name

ELMA O

Last Name

SIA

Suffix

Business Name

ELMA O SIA MD

Original Issue Date

08/13/1985

Effective Date

08/13/1985

Expiration Date

07/31/1993

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/20/2006