TIMOTHY GRAHAM ELGIN DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

ACTIVE

Business

Title

First Name

TIMOTHY

Middle

GRAHAM

Last Name

ELGIN

Business Name

TIMOTHY GRAHAM ELGIN DO

Original Issue Date

08/22/2022

Effective Date

07/11/2023

Expiration Date

07/31/2026

City

MADISON

State

Zip

53792

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/11/2023