ELISA M QUAN Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036105616

License Status

INACTIVE

Business

First Name

ELISA

Middle

Last Name

QUAN

Business Name

ELISA M QUAN

Original Issue Date

09/20/2001

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

DEKALB

State

Zip

60115

County

DEKALB

Ever Disciplined

LastModifiedDate

07/03/2008