ELSA HERNANDEZ-OUTLY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125018937

License Status

EXPIRED

Business

First Name

ELSA

Last Name

HERNANDEZ-OUTLY

Suffix

Business Name

ELSA HERNANDEZ-OUTLY MD

Original Issue Date

07/30/1985

Effective Date

07/30/1985

Expiration Date

07/01/1988

City

CHICAGO

State

Zip

60640

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

10/03/2006