ELVIA ANGELICA GREATHOUSE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036138534

License Status

NOT RENEWED

Business

Title

First Name

ELVIA

Middle

ANGELICA

Last Name

GREATHOUSE

Business Name

ELVIA ANGELICA GREATHOUSE MD

Original Issue Date

06/30/2015

Effective Date

06/30/2015

Expiration Date

07/31/2017

City

BLOOMINGTON

State

Zip

47401

County

INDIANA

Ever Disciplined

LastModifiedDate

11/01/2017