ELLEN FERTELMEISTER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036071978

License Status

NOT RENEWED

Business

First Name

ELLEN

Last Name

FERTELMEISTER

Suffix

Business Name

ELLEN FERTELMEISTER MD

Original Issue Date

10/31/1985

Effective Date

08/01/2017

Expiration Date

09/30/2020

City

LAKE FOREST

State

Zip

60045

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021