ELENA BALTAG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036160512

License Status

ACTIVE

Business

Title

First Name

ELENA

Last Name

BALTAG

Business Name

ELENA BALTAG MD

Original Issue Date

05/06/2022

Effective Date

04/19/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

04/19/2023