RICHARD L ELLISON Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125020293

License Status

EXPIRED

Business

First Name

RICHARD

Middle

Last Name

ELLISON

Business Name

RICHARD L ELLISON

Original Issue Date

09/04/1986

Effective Date

09/04/1986

Expiration Date

06/29/1989

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006