ELENA BALTAG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****33

License Status

ACTIVE

Business

Title

First Name

ELENA

Last Name

BALTAG

Business Name

ELENA BALTAG MD

Original Issue Date

05/27/2022

Effective Date

05/09/2023

Expiration Date

07/31/2026

City

ARLINGTON HEIGHTS

State

Zip

60005

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/20/2025