ELLENDEE PEPPER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125013012

License Status

EXPIRED

Business

First Name

ELLENDEE

Last Name

PEPPER

Suffix

Business Name

ELLENDEE PEPPER MD

Original Issue Date

06/17/1981

Effective Date

06/17/1981

Expiration Date

07/01/1983

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Dermatology

Ever Disciplined

LastModifiedDate

09/22/2006