WANDA ELOZEGUI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036124702

License Status

NOT RENEWED

Business

First Name

WANDA

Last Name

ELOZEGUI

Suffix

Business Name

WANDA ELOZEGUI MD

Original Issue Date

12/07/2009

Effective Date

12/07/2009

Expiration Date

07/31/2011

City

FOREST PARK

State

Zip

60130

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011