ELENA KORNIYCHUK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036123772

License Status

NOT RENEWED

Business

Title

First Name

ELENA

Last Name

KORNIYCHUK

Business Name

ELENA KORNIYCHUK MD

Original Issue Date

06/17/2009

Effective Date

07/19/2017

Expiration Date

09/30/2020

City

KENOSHA

State

Zip

53140

County

WISCONSIN

Ever Disciplined

LastModifiedDate

01/14/2021