HANS DAVID ELZINGA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000438

License Status

EXPIRED

Business

First Name

HANS

Middle

DAVID

Last Name

ELZINGA

Suffix

Business Name

HANS DAVID ELZINGA MD

Original Issue Date

02/01/1999

Effective Date

02/01/1999

Expiration Date

03/31/1999

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/25/2006