BRUCE ELKIN ELLERIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****80

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

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014