MARCO FREDRICK ELLIS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049920

License Status

EXPIRED

Business

First Name

MARCO

Middle

FREDRICK

Last Name

ELLIS

Suffix

Business Name

MARCO FREDRICK ELLIS MD

Original Issue Date

06/20/2005

Effective Date

06/20/2005

Expiration Date

06/19/2008

City

CHICAGO

State

Zip

60611

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

06/26/2008