LISA B ELCONIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036082746

License Status

NOT RENEWED

Business

First Name

LISA B

Last Name

ELCONIN

Suffix

Business Name

LISA B ELCONIN MD

Original Issue Date

06/26/1991

Effective Date

06/26/1991

Expiration Date

07/31/1993

City

MINOT

State

Zip

58701

County

NORTH DAKOTA

Ever Disciplined

LastModifiedDate

09/20/2006