ELENA SUSANA MOORE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036132978

License Status

ACTIVE

Business

Title

First Name

ELENA

Middle

SUSANA

Last Name

MOORE

Business Name

ELENA SUSANA MOORE MD

Original Issue Date

05/15/2013

Effective Date

07/27/2023

Expiration Date

07/31/2026

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2023