BRUCE ELKIN ELLERIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036128337

License Status

NOT RENEWED

Business

Title

First Name

BRUCE

Middle

ELKIN

Last Name

ELLERIN

Business Name

BRUCE ELKIN ELLERIN MD

Original Issue Date

07/05/2011

Effective Date

07/05/2011

Expiration Date

07/31/2014

City

CREVE COEUR

State

Zip

63141

County

MISSOURI

Ever Disciplined

LastModifiedDate

11/17/2014