THERESA M GENOVESE-ELLIOTT Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000383

License Status

EXPIRED

Business

First Name

THERESA

Middle

Last Name

GENOVESE-ELLIOTT

Business Name

THERESA M GENOVESE-ELLIOTT

Original Issue Date

11/01/1997

Effective Date

11/01/1997

Expiration Date

11/30/1997

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

09/25/2006