ELLEN E CUNNINGHAM - Medical Doctor License in Illinois | # 125036425

ELLEN E CUNNINGHAM

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125036425

License Status

EXPIRED

Business

N

First Name

ELLEN

Middle

E

Last Name

CUNNINGHAM

Business Name

ELLEN E CUNNINGHAM

Original Issue Date

06/04/1997

Effective Date

06/04/1997

Expiration Date

06/30/2000

State

IL

Specialty/Qualifier

Dermatology

Ever Disciplined

N

LastModifiedDate

09/22/2006