ERYNN ELIZABETH ELLEBY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125063980

License Status

CANCELLED

Business

First Name

ERYNN

Middle

ELIZABETH

Last Name

ELLEBY

Suffix

Business Name

ERYNN ELIZABETH ELLEBY MD

Original Issue Date

07/01/2013

Effective Date

07/01/2013

Expiration Date

06/30/2016

City

SHILOH

State

Zip

62221

County

SAINT CLAIR

Specialty/Qualifier

Family Practice

Ever Disciplined

LastModifiedDate

03/24/2014