ELENA V ROUKHADZE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036107207

License Status

NOT RENEWED

Business

First Name

ELENA

Middle

Last Name

ROUKHADZE

Suffix

Business Name

ELENA V ROUKHADZE MD

Original Issue Date

06/13/2002

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

SHOREWOOD

State

Zip

53211

Ever Disciplined

LastModifiedDate

11/06/2008