SCOTT A ELISOFON Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036105656

License Status

INACTIVE

Business

First Name

SCOTT

Middle

Last Name

ELISOFON

Business Name

SCOTT A ELISOFON

Original Issue Date

10/01/2001

Effective Date

10/01/2001

Expiration Date

07/31/2002

City

BROOKLINE

State

Zip

02446

County

MASSACHUSETTS

Ever Disciplined

LastModifiedDate

10/09/2006