HARRY PENOY ELAM JR MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036033028

License Status

INACTIVE

Business

First Name

HARRY PENOY

Last Name

ELAM JR

Suffix

Business Name

HARRY PENOY ELAM JR MD

Original Issue Date

09/27/1954

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

EVANSTON

State

Zip

60202

County

COOK

Ever Disciplined

LastModifiedDate

04/17/2008