DAVID CARL ELLINGSEN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125030183

License Status

EXPIRED

Business

First Name

DAVID CARL

Last Name

ELLINGSEN

Suffix

Business Name

DAVID CARL ELLINGSEN MD

Original Issue Date

06/08/1993

Effective Date

06/08/1993

Expiration Date

06/30/1997

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

09/22/2006