ELBERT EMANUEL VACA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064152

License Status

CANCELLED

Business

Title

First Name

ELBERT

Middle

EMANUEL

Last Name

VACA

Business Name

ELBERT EMANUEL VACA MD

Original Issue Date

06/27/2016

Effective Date

06/27/2016

Expiration Date

06/26/2019

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Plastic Surgery

Ever Disciplined

LastModifiedDate

04/13/2016