ELLIS DONALD JOHNSON MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036030816

License Status

INACTIVE

Business

First Name

ELLIS DONALD

Last Name

JOHNSON

Suffix

Business Name

ELLIS DONALD JOHNSON MD

Original Issue Date

08/15/1951

Effective Date

06/24/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60602

County

COOK

Ever Disciplined

LastModifiedDate

04/07/2011