ELLEN KATHLEEN CASEY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050629

License Status

CANCELLED

Business

First Name

ELLEN

Middle

KATHLEEN

Last Name

CASEY

Suffix

Business Name

ELLEN KATHLEEN CASEY MD

Original Issue Date

07/01/2006

Effective Date

07/01/2006

Expiration Date

06/30/2009

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006