ELAINE GRACE KHATOD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036126178

License Status

NOT RENEWED

Business

First Name

ELAINE

Middle

GRACE

Last Name

KHATOD

Suffix

Business Name

ELAINE GRACE KHATOD MD

Original Issue Date

06/30/2010

Effective Date

06/12/2017

Expiration Date

09/30/2020

City

EDEN PRAIRIE

State

Zip

55344

County

GEORGIA

Ever Disciplined

LastModifiedDate

01/14/2021