ELIE C AZRAK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110194

License Status

NOT RENEWED

Business

First Name

ELIE

Middle

Last Name

AZRAK

Suffix

Business Name

ELIE C AZRAK MD

Original Issue Date

09/29/2003

Effective Date

06/20/2014

Expiration Date

07/31/2017

City

BRIDGETON

State

Zip

63044

Ever Disciplined

LastModifiedDate

11/01/2017