ELSA HERNANDEZ-OUTLY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****31

License Status

NOT RENEWED

Business

First Name

ELSA

Last Name

HERNANDEZ-OUTLY

Suffix

Business Name

ELSA HERNANDEZ-OUTLY MD

Original Issue Date

07/20/1988

Effective Date

08/03/2017

Expiration Date

09/30/2020

City

DES PLAINES

State

Zip

60016

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021