ELENA NGO GRACIOSA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036064681

License Status

INACTIVE

Business

First Name

ELENA NGO

Last Name

GRACIOSA

Suffix

Business Name

ELENA NGO GRACIOSA MD

Original Issue Date

06/28/1982

Effective Date

06/28/1982

Expiration Date

07/31/1987

City

BURLINGTON

State

Zip

53105

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006