EARNESTINE WILLIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036063564

License Status

NOT RENEWED

Business

First Name

EARNESTINE

Last Name

WILLIS

Suffix

Business Name

EARNESTINE WILLIS MD

Original Issue Date

11/13/1981

Effective Date

11/13/1981

Expiration Date

07/31/1996

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006