ELVIA ANGELICA GREATHOUSE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

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

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017