KRISTIN ELIZABETH ELLISON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036141164

License Status

NOT RENEWED

Business

Title

First Name

KRISTIN

Middle

ELIZABETH

Last Name

ELLISON

Business Name

KRISTIN ELIZABETH ELLISON MD

Original Issue Date

07/07/2016

Effective Date

07/07/2016

Expiration Date

07/31/2017

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017

Case Number

2016004884

Action

Probation

Discipline Start Date

07/07/2016

Discipline End Date

04/25/2021

Discipline Reason

after she has been disciplined by the Rhode Island Board of Medical Licensure and Discipline due to her history of substance abuse.