ELAN HALPERN GREEN DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125076120

License Status

CANCELLED

Business

Title

First Name

ELAN

Middle

HALPERN

Last Name

GREEN

Business Name

ELAN HALPERN GREEN DO

Original Issue Date

06/29/2020

Effective Date

06/29/2020

Expiration Date

06/28/2023

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

05/04/2020