ELAINE MARIE DEMETROULIS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING PHYSICIAN PERMIT

License Number

106000323

License Status

EXPIRED

Business

First Name

ELAINE

Middle

MARIE

Last Name

DEMETROULIS

Suffix

Business Name

ELAINE MARIE DEMETROULIS MD

Original Issue Date

07/02/2007

Effective Date

07/02/2007

Expiration Date

01/01/2008

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/03/2008