SONNI PATRICE ELLIOTT Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051353

License Status

CANCELLED

Business

First Name

SONNI

Middle

PATRICE

Last Name

ELLIOTT

Business Name

SONNI PATRICE ELLIOTT

Original Issue Date

07/01/2006

Effective Date

07/01/2006

Expiration Date

06/30/2009

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006