ANGELA A ELLIOTT DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING RESIDENT

License Number

188000452

License Status

EXPIRED

Business

First Name

ANGELA

Middle

Last Name

ELLIOTT

Suffix

Business Name

ANGELA A ELLIOTT DO

Original Issue Date

04/01/2012

Effective Date

04/01/2012

Expiration Date

09/30/2012

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Specialty/Qualifier

Family Practice

Ever Disciplined

LastModifiedDate

01/11/2013