ELOISE DELAIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****10

License Status

NOT RENEWED

Business

Title

First Name

ELOISE

Last Name

DELAIN

Business Name

ELOISE DELAIN MD

Original Issue Date

08/30/2007

Effective Date

06/24/2014

Expiration Date

07/31/2017

City

ZION

State

Zip

60099

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017