ELTON MUSTAFARAJ DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061907

License Status

EXPIRED

Business

Title

First Name

ELTON

Last Name

MUSTAFARAJ

Business Name

ELTON MUSTAFARAJ DO

Original Issue Date

07/01/2015

Effective Date

07/01/2015

Expiration Date

06/30/2017

City

MEQUON

State

Zip

53092

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

09/19/2017