JOHN R ELSEN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125025098

License Status

EXPIRED

Business

Title

First Name

JOHN R

Last Name

ELSEN

Business Name

JOHN R ELSEN MD

Original Issue Date

05/25/1990

Effective Date

05/25/1990

Expiration Date

06/24/1993

City

LAGRANGE

State

Zip

60525

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006