ELIZABETH CARLA POLI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065276

License Status

CANCELLED

Business

Title

First Name

ELIZABETH

Middle

CARLA

Last Name

POLI

Business Name

ELIZABETH CARLA POLI MD

Original Issue Date

06/24/2014

Effective Date

06/24/2014

Expiration Date

06/23/2017

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

05/02/2014