GORDON W ELLER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036093213

License Status

NOT RENEWED

Business

First Name

GORDON W

Last Name

ELLER

Suffix

Business Name

GORDON W ELLER MD

Original Issue Date

06/15/1996

Effective Date

06/15/1996

Expiration Date

07/31/2005

City

CAPE GIRARDEAU

State

Zip

63703

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/09/2006