MICHAEL A ELLISON MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036044716

License Status

INACTIVE

Business

First Name

MICHAEL A

Last Name

ELLISON

Suffix

Business Name

MICHAEL A ELLISON MD

Original Issue Date

09/01/1971

Effective Date

06/21/2011

Expiration Date

07/31/2014

City

NORTHBROOK

State

Zip

60062

County

COOK

Ever Disciplined

LastModifiedDate

04/08/2014