JAMIE LYNN ELLIS-WITTENHAGEN DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036141480

License Status

NOT RENEWED

Business

Title

First Name

JAMIE

Middle

LYNN

Last Name

ELLIS-WITTENHAGEN

Business Name

JAMIE LYNN ELLIS-WITTENHAGEN DO

Original Issue Date

08/16/2016

Effective Date

08/16/2016

Expiration Date

07/31/2017

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017