ELIZABETH SHAY VALLE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065810

License Status

CANCELLED

Business

Title

First Name

ELIZABETH

Last Name

SHAY VALLE

Business Name

ELIZABETH SHAY VALLE MD

Original Issue Date

06/24/2017

Effective Date

06/24/2017

Expiration Date

06/23/2018

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/20/2017