ELISA ROSE WING MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036148008

License Status

ACTIVE

Business

Title

First Name

ELISA

Middle

ROSE

Last Name

WING

Business Name

ELISA ROSE WING MD

Original Issue Date

12/29/2018

Effective Date

04/29/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60642

County

COOK

Ever Disciplined

LastModifiedDate

12/04/2024