ELLEN KATHLEEN CASEY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036122958

License Status

NOT RENEWED

Business

First Name

ELLEN

Middle

KATHLEEN

Last Name

CASEY

Suffix

Business Name

ELLEN KATHLEEN CASEY MD

Original Issue Date

03/30/2009

Effective Date

04/26/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014