WANDA ELOZEGUI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053629

License Status

CANCELLED

Business

First Name

WANDA

Last Name

ELOZEGUI

Suffix

Business Name

WANDA ELOZEGUI MD

Original Issue Date

07/01/2007

Effective Date

07/01/2007

Expiration Date

06/30/2010

City

CHICAGO

State

Zip

60622

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

06/14/2007