ELBERT EMANUEL VACA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036141282

License Status

NOT RENEWED

Business

Title

First Name

ELBERT

Middle

EMANUEL

Last Name

VACA

Business Name

ELBERT EMANUEL VACA MD

Original Issue Date

07/21/2016

Effective Date

04/12/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021