ELIA NILA ESCANAME MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060334

License Status

EXPIRED

Business

Title

First Name

ELIA

Middle

NILA

Last Name

ESCANAME

Business Name

ELIA NILA ESCANAME MD

Original Issue Date

07/01/2011

Effective Date

07/01/2011

Expiration Date

06/30/2014

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

03/13/2015