ELISA ROSE WING MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069018

License Status

CANCELLED

Business

Title

First Name

ELISA

Middle

ROSE

Last Name

WING

Business Name

ELISA ROSE WING MD

Original Issue Date

06/27/2016

Effective Date

06/27/2016

Expiration Date

06/26/2019

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

05/11/2016