ALAIN E ELBAZ Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****14

License Status

NOT RENEWED

Business

First Name

ALAIN E

Last Name

ELBAZ

Business Name

ALAIN E ELBAZ

Original Issue Date

10/10/1995

Effective Date

10/10/1995

Expiration Date

07/31/1999

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006