RYAN JOSEPH ELLIS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064538

License Status

CANCELLED

Business

Title

First Name

RYAN

Middle

JOSEPH

Last Name

ELLIS

Business Name

RYAN JOSEPH ELLIS MD

Original Issue Date

06/23/2014

Effective Date

06/23/2014

Expiration Date

06/22/2017

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

05/15/2014