DENA ANN ELS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061654

License Status

EXPIRED

Business

Title

First Name

DENA

Middle

ANN

Last Name

ELS

Business Name

DENA ANN ELS MD

Original Issue Date

07/01/2012

Effective Date

07/01/2012

Expiration Date

06/30/2015

City

CHICAGO

State

Zip

60622

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/04/2015