MARY THERESA ELENGICAL DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052315

License Status

EXPIRED

Business

First Name

MARY

Middle

THERESA

Last Name

ELENGICAL

Suffix

Business Name

MARY THERESA ELENGICAL DO

Original Issue Date

07/01/2007

Effective Date

07/01/2007

Expiration Date

06/30/2010

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

07/08/2010