MARIE ELLEN ELLIS DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036158239

License Status

ACTIVE

Business

Title

First Name

MARIE

Middle

ELLEN

Last Name

ELLIS

Business Name

MARIE ELLEN ELLIS DO

Original Issue Date

09/08/2021

Effective Date

07/04/2023

Expiration Date

07/31/2026

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

07/04/2023