License holder summary

ELENA SHAGISULTANOVA is a Graduate Medical Trainee licensed to practice in Pennsylvania. The address on file for ELENA SHAGISULTANOVA is Wayne PA 19087. This medical practitioner license is not current. The license was granted 06/16/2012 and expired on 06/30/2015.

Department of State

Board of Medicine

ELENA SHAGISULTANOVA
Graduate Medical Trainee
License number
MT202652
Date granted
06/16/2012
Date expires
06/30/2015
Class
Graduate Medical Trainee
Status
Inactive
Address
Wayne PA 19087
medicinepa.com
ID 37570742
LAST UPDATED 2024-03-15 00:32:05 UTC

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