RENEE A ELLIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036105935

License Status

NOT RENEWED

Business

First Name

RENEE

Middle

Last Name

ELLIS

Suffix

Business Name

RENEE A ELLIS MD

Original Issue Date

11/30/2001

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

11/06/2008