ELLEN GAYNOR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036060577

License Status

NOT RENEWED

Business

First Name

ELLEN

Last Name

GAYNOR

Suffix

Business Name

ELLEN GAYNOR MD

Original Issue Date

07/10/1980

Effective Date

04/24/2017

Expiration Date

09/30/2020

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021