ELIAS S HOHLASTOS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049512

License Status

CANCELLED

Business

First Name

ELIAS

Middle

Last Name

HOHLASTOS

Suffix

Business Name

ELIAS S HOHLASTOS MD

Original Issue Date

06/23/2005

Effective Date

06/23/2005

Expiration Date

06/30/2008

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

09/22/2006