CHAD RAYNARD ELLER MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036104113

License Status

INACTIVE

Business

First Name

CHAD

Middle

RAYNARD

Last Name

ELLER

Suffix

Business Name

CHAD RAYNARD ELLER MD

Original Issue Date

02/02/2001

Effective Date

02/02/2001

Expiration Date

07/31/2005

City

CHARLOTTE

State

Zip

28210

County

NORTH CAROLINA

Ever Disciplined

LastModifiedDate

10/14/2008