ELVIA ELENA VALLEJO MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****11

License Status

CANCELLED

Business

First Name

ELVIA

Middle

ELENA

Last Name

VALLEJO

Suffix

Business Name

ELVIA ELENA VALLEJO MD

Original Issue Date

08/19/2003

Effective Date

08/19/2003

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60608

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011