KENNETH KIRK ELLIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036082824

License Status

NOT RENEWED

Business

First Name

KENNETH KIRK

Last Name

ELLIS

Suffix

Business Name

KENNETH KIRK ELLIS MD

Original Issue Date

06/28/1991

Effective Date

06/28/1991

Expiration Date

07/31/1996

City

RIVER FOREST

State

Zip

60305

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006