LISA B ELCONIN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125023311

License Status

EXPIRED

Business

First Name

LISA B

Last Name

ELCONIN

Suffix

Business Name

LISA B ELCONIN MD

Original Issue Date

04/19/1989

Effective Date

04/19/1989

Expiration Date

06/20/1992

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006