LELAND J ELLIOTT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

NOT RENEWED

Business

First Name

LELAND J

Last Name

ELLIOTT

Suffix

Business Name

LELAND J ELLIOTT MD

Original Issue Date

10/23/1991

Effective Date

10/23/1991

Expiration Date

07/31/1993

City

CAIRO

State

Zip

62914

County

ALEXANDER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006