PAMELA I ELLSWORTH Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125020575

License Status

EXPIRED

Business

First Name

PAMELA

Middle

Last Name

ELLSWORTH

Business Name

PAMELA I ELLSWORTH

Original Issue Date

05/02/1987

Effective Date

05/02/1987

Expiration Date

07/01/1990

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006