ELIZABETH TATIANA STULPIN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074326

License Status

EXPIRED

Business

Title

First Name

ELIZABETH

Middle

TATIANA

Last Name

STULPIN

Business Name

ELIZABETH TATIANA STULPIN MD

Original Issue Date

06/23/2022

Effective Date

06/23/2022

Expiration Date

06/22/2023

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

03/06/2024