ELI IPP MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036059965

License Status

NOT RENEWED

Business

First Name

ELI

Last Name

IPP

Suffix

Business Name

ELI IPP MD

Original Issue Date

01/11/1980

Effective Date

01/11/1980

Expiration Date

07/31/1987

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2008