ELBERT EMANUEL VACA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

NOT RENEWED

Business

Title

First Name

ELBERT

Middle

EMANUEL

Last Name

VACA

Business Name

ELBERT EMANUEL VACA MD

Original Issue Date

07/21/2016

Effective Date

04/11/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021