ELMER L LINBOOM MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057194

License Status

CANCELLED

Business

Title

First Name

ELMER

Middle

Last Name

LINBOOM

Business Name

ELMER L LINBOOM MD

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2012

City

AURORA

State

Zip

60504

County

DUPAGE

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

04/29/2009