YELIZAVETA MAKHATADZE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036151158

License Status

NOT RENEWED

Business

Title

First Name

YELIZAVETA

Last Name

MAKHATADZE

Business Name

YELIZAVETA MAKHATADZE MD

Original Issue Date

11/07/2019

Effective Date

09/16/2020

Expiration Date

07/31/2023

City

CHESTERFIELD

State

Zip

63017

Ever Disciplined

LastModifiedDate

11/30/2023