MICHAEL BRIAN ELLMAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055262

License Status

EXPIRED

Business

Title

First Name

MICHAEL

Middle

BRIAN

Last Name

ELLMAN

Business Name

MICHAEL BRIAN ELLMAN MD

Original Issue Date

07/01/2011

Effective Date

07/01/2011

Expiration Date

06/30/2013

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

10/07/2013