WILLARD OSWALD ELYEA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036041077

License Status

INACTIVE

Business

First Name

WILLARD OSWALD

Last Name

ELYEA

Suffix

Business Name

WILLARD OSWALD ELYEA MD

Original Issue Date

07/01/1967

Effective Date

07/13/2020

Expiration Date

07/31/2023

City

GALLATIN

State

Zip

37066

Ever Disciplined

LastModifiedDate

07/29/2023