WISAM H ELYAS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****13

License Status

NOT RENEWED

Business

First Name

WISAM H

Last Name

ELYAS

Suffix

Business Name

WISAM H ELYAS MD

Original Issue Date

02/07/1983

Effective Date

06/14/2011

Expiration Date

07/31/2014

City

LAWRENCEVILLE

State

Zip

62439

County

LAWRENCE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020