ELIAS IMPENS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125077212

License Status

EXPIRED

Business

Title

First Name

ELIAS

Last Name

IMPENS

Business Name

ELIAS IMPENS MD

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2021

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Geriatric Medicine

Ever Disciplined

LastModifiedDate

10/11/2022