KENNETH KIRK ELLIS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125023974

License Status

EXPIRED

Business

First Name

KENNETH KIRK

Last Name

ELLIS

Suffix

Business Name

KENNETH KIRK ELLIS MD

Original Issue Date

05/24/1989

Effective Date

05/24/1989

Expiration Date

06/26/1992

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006