WILLIAM J ENNIS DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125024628

License Status

EXPIRED

Business

First Name

WILLIAM J

Last Name

ENNIS

Suffix

Business Name

WILLIAM J ENNIS DO

Original Issue Date

03/23/1990

Effective Date

03/23/1990

Expiration Date

07/31/1993

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Thoracic Surgery

Ever Disciplined

LastModifiedDate

09/22/2006