WILLIAM ELLIS Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036074213

License Status

NOT RENEWED

Business

First Name

WILLIAM

Last Name

ELLIS

Business Name

WILLIAM ELLIS

Original Issue Date

12/16/1986

Effective Date

12/16/1986

Expiration Date

07/31/1993

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006