RYAN E ELLIS DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051717

License Status

EXPIRED

Business

First Name

RYAN

Middle

Last Name

ELLIS

Suffix

Business Name

RYAN E ELLIS DO

Original Issue Date

07/01/2006

Effective Date

07/01/2006

Expiration Date

06/30/2009

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

11/10/2025