GENNADIY ELIKMAN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055307

License Status

CANCELLED

Business

Title

First Name

GENNADIY

Last Name

ELIKMAN

Business Name

GENNADIY ELIKMAN MD

Original Issue Date

06/08/2009

Effective Date

06/08/2009

Expiration Date

12/31/2011

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/15/2009