ELMA O SIA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

NOT RENEWED

Business

First Name

ELMA O

Last Name

SIA

Suffix

Business Name

ELMA O SIA MD

Original Issue Date

02/18/1987

Effective Date

02/18/1987

Expiration Date

07/31/1993

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006