B RAFAEL ELEJALDE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036070179

License Status

NOT RENEWED

Business

First Name

B RAFAEL

Last Name

ELEJALDE

Suffix

Business Name

B RAFAEL ELEJALDE MD

Original Issue Date

03/19/1985

Effective Date

06/11/2014

Expiration Date

07/31/2017

City

MILWAUKEE

State

Zip

53205

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/01/2017