ELENA V ROUKHADZE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125037243

License Status

EXPIRED

Business

First Name

ELENA

Middle

Last Name

ROUKHADZE

Suffix

Business Name

ELENA V ROUKHADZE MD

Original Issue Date

10/28/1997

Effective Date

10/28/1997

Expiration Date

05/21/2002

City

CHICAGO

State

Zip

60657

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

09/22/2006