RICHARD LEROY ELLIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036094981

License Status

NOT RENEWED

Business

First Name

RICHARD LEROY

Last Name

ELLIS

Suffix

Business Name

RICHARD LEROY ELLIS MD

Original Issue Date

03/08/1997

Effective Date

03/08/1997

Expiration Date

07/31/2002

City

SPRINGFIELD

State

Zip

62781

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/09/2006