ELIZABETH MARIE TRENGOVE Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048104

License Status

EXPIRED

Business

First Name

ELIZABETH

Middle

MARIE

Last Name

TRENGOVE

Business Name

ELIZABETH MARIE TRENGOVE

Original Issue Date

07/01/2004

Effective Date

07/01/2004

Expiration Date

06/30/2009

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

07/15/2009