GLYNN J ELLIOTT III Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125029875

License Status

EXPIRED

Business

First Name

GLYNN J

Last Name

ELLIOTT III

Business Name

GLYNN J ELLIOTT III

Original Issue Date

05/26/1993

Effective Date

05/26/1993

Expiration Date

06/22/1996

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006