LISA C ELLIS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125024386

License Status

EXPIRED

Business

First Name

LISA C

Last Name

ELLIS

Suffix

Business Name

LISA C ELLIS MD

Original Issue Date

07/05/1989

Effective Date

07/05/1989

Expiration Date

06/30/1995

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006