ELIAS NAME MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036107230

License Status

NOT RENEWED

Business

First Name

ELIAS

Last Name

NAME

Suffix

Business Name

ELIAS NAME MD

Original Issue Date

06/14/2002

Effective Date

06/14/2002

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60618

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006