ELLIS M ATKINSON DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036037932

License Status

NOT RENEWED

Business

First Name

ELLIS M

Last Name

ATKINSON

Suffix

Business Name

ELLIS M ATKINSON DO

Original Issue Date

09/13/1962

Effective Date

09/13/1962

Expiration Date

07/31/1990

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

09/20/2006