ELI CHARLES POORVU MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062307

License Status

EXPIRED

Business

Title

First Name

ELI

Middle

CHARLES

Last Name

POORVU

Business Name

ELI CHARLES POORVU MD

Original Issue Date

07/01/2015

Effective Date

07/01/2015

Expiration Date

06/30/2016

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

08/16/2016