MARNIE L ELIZAGA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125027864

License Status

EXPIRED

Business

First Name

MARNIE L

Last Name

ELIZAGA

Suffix

Business Name

MARNIE L ELIZAGA MD

Original Issue Date

05/04/1992

Effective Date

05/04/1992

Expiration Date

06/22/1995

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006