MARK C ELLIS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125019475

License Status

EXPIRED

Business

First Name

MARK C

Last Name

ELLIS

Suffix

Business Name

MARK C ELLIS MD

Original Issue Date

06/18/1986

Effective Date

06/18/1986

Expiration Date

06/24/1989

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006