LAMONT A ELLIS Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036096779

License Status

NOT RENEWED

Business

First Name

LAMONT

Middle

Last Name

ELLIS

Business Name

LAMONT A ELLIS

Original Issue Date

10/06/1997

Effective Date

10/06/1997

Expiration Date

07/31/1999

City

DARIEN

State

Zip

60561

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/20/2006