CHARLES ELLSWORTH ELSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036038068

License Status

NOT RENEWED

Business

First Name

CHARLES

Middle

ELLSWORTH

Last Name

ELSON

Suffix

Business Name

CHARLES ELLSWORTH ELSON MD

Original Issue Date

09/20/1962

Effective Date

05/10/2011

Expiration Date

07/31/2014

City

GURNEE

State

Zip

60031

County

LAKE

Ever Disciplined

LastModifiedDate

11/17/2014