THEODORE J ELLIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036088223

License Status

NOT RENEWED

Business

First Name

THEODORE J

Last Name

ELLIS

Suffix

Business Name

THEODORE J ELLIS MD

Original Issue Date

04/01/1994

Effective Date

07/16/2020

Expiration Date

07/31/2023

City

NAPERVILLE

State

Zip

60565

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/30/2023