ELENA CRISAN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045041

License Status

CANCELLED

Business

First Name

ELENA

Last Name

CRISAN

Suffix

Business Name

ELENA CRISAN MD

Original Issue Date

06/14/2002

Effective Date

06/14/2002

Expiration Date

06/30/2007

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

04/08/2010