MARCO FREDRICK ELLIS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036121419

License Status

ACTIVE

Business

First Name

MARCO

Middle

FREDRICK

Last Name

ELLIS

Suffix

Business Name

MARCO FREDRICK ELLIS MD

Original Issue Date

07/07/2008

Effective Date

06/21/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

06/21/2023