ELVIS M FEDALIZO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000153

License Status

EXPIRED

Business

First Name

ELVIS

Middle

Last Name

FEDALIZO

Business Name

ELVIS M FEDALIZO

Original Issue Date

04/30/1991

Effective Date

04/30/1991

Expiration Date

09/30/1991

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Dermatology

Ever Disciplined

LastModifiedDate

09/25/2006