ELIZABETH DIMELIS H FERENCE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060119

License Status

EXPIRED

Business

Title

First Name

ELIZABETH

Middle

DIMELIS H

Last Name

FERENCE

Business Name

ELIZABETH DIMELIS H FERENCE MD

Original Issue Date

06/23/2014

Effective Date

06/23/2014

Expiration Date

06/22/2016

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Otolaryngology

Ever Disciplined

LastModifiedDate

08/16/2016