THEODORE WINTHRO ELLER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036058013

License Status

NOT RENEWED

Business

Title

First Name

THEODORE WINTHRO

Last Name

ELLER

Business Name

THEODORE WINTHRO ELLER MD

Original Issue Date

10/30/1978

Effective Date

07/13/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60654

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014