ELENA BALTAG MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125073488

License Status

CANCELLED

Business

Title

First Name

ELENA

Last Name

BALTAG

Business Name

ELENA BALTAG MD

Original Issue Date

06/27/2019

Effective Date

06/27/2019

Expiration Date

06/26/2022

City

ARLINGTON HEIGHTS

State

Zip

60005

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/11/2019