ELIE C AZRAK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING PHYSICIAN PERMIT

License Number

106000141

License Status

EXPIRED

Business

First Name

ELIE

Middle

Last Name

AZRAK

Suffix

Business Name

ELIE C AZRAK MD

Original Issue Date

11/21/2001

Effective Date

11/21/2001

Expiration Date

05/25/2002

City

BRIDGETON

State

Zip

63044

Ever Disciplined

LastModifiedDate

09/23/2006