ELINA SERGEEVNA POLYAKOVA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052295

License Status

CANCELLED

Business

First Name

ELINA

Middle

SERGEEVNA

Last Name

POLYAKOVA

Suffix

Business Name

ELINA SERGEEVNA POLYAKOVA MD

Original Issue Date

07/09/2007

Effective Date

07/09/2007

Expiration Date

07/08/2010

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

04/09/2008