ELENA VAGIA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074060

License Status

EXPIRED

Business

Title

First Name

ELENA

Last Name

VAGIA

Business Name

ELENA VAGIA MD

Original Issue Date

06/01/2019

Effective Date

06/01/2019

Expiration Date

05/31/2021

City

WILMETTE

State

Zip

60091

County

COOK

Specialty/Qualifier

Developmental Therapeutics

Ever Disciplined

LastModifiedDate

07/20/2021