LISA C ELLIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036084966

License Status

NOT RENEWED

Business

First Name

LISA C

Last Name

ELLIS

Suffix

Business Name

LISA C ELLIS MD

Original Issue Date

07/24/1992

Effective Date

07/24/1992

Expiration Date

07/31/1996

City

RIVER FOREST

State

Zip

60305

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006