ERIN D ELLIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036074067

License Status

NOT RENEWED

Business

First Name

ERIN D

Last Name

ELLIS

Suffix

Business Name

ERIN D ELLIS MD

Original Issue Date

11/10/1986

Effective Date

11/10/1986

Expiration Date

07/31/1993

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006