ELIZABETH ELLEN HARLAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036129273

License Status

NOT RENEWED

Business

Title

First Name

ELIZABETH

Middle

ELLEN

Last Name

HARLAN

Business Name

ELIZABETH ELLEN HARLAN MD

Original Issue Date

11/23/2011

Effective Date

09/29/2020

Expiration Date

07/31/2023

City

LOUISVILLE

State

Zip

40206

Ever Disciplined

LastModifiedDate

11/30/2023