ELODI JOY DIELUBANZA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056858

License Status

EXPIRED

Business

First Name

ELODI

Middle

JOY

Last Name

DIELUBANZA

Suffix

Business Name

ELODI JOY DIELUBANZA MD

Original Issue Date

06/23/2012

Effective Date

06/23/2012

Expiration Date

06/22/2015

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Urology

Ever Disciplined

LastModifiedDate

09/04/2015