ELIZABETH VACA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125076163

License Status

CANCELLED

Business

Title

First Name

ELIZABETH

Last Name

VACA

Business Name

ELIZABETH VACA MD

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

06/10/2020