ELLIS K NAM MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035790

License Status

EXPIRED

Business

Title

First Name

ELLIS

Middle

Last Name

NAM

Business Name

ELLIS K NAM MD

Original Issue Date

05/05/1997

Effective Date

05/05/1997

Expiration Date

06/16/2002

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

09/22/2006