ELANA YAEL POULTER MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****46

License Status

CANCELLED

Business

First Name

ELANA

Middle

YAEL

Last Name

POULTER

Suffix

Business Name

ELANA YAEL POULTER MD

Original Issue Date

03/04/2008

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60614

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011