ELLEN L PRATT MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125039186

License Status

EXPIRED

Business

Title

First Name

ELLEN

Middle

Last Name

PRATT

Business Name

ELLEN L PRATT MD

Original Issue Date

07/01/1999

Effective Date

07/01/1999

Expiration Date

06/30/2002

City

PEORIA

State

Zip

61603

County

PEORIA

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006