ELLIS ALBERT GREEN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125076113

License Status

EXPIRED

Business

Title

First Name

ELLIS

Middle

ALBERT

Last Name

GREEN

Business Name

ELLIS ALBERT GREEN MD

Original Issue Date

06/24/2020

Effective Date

06/24/2020

Expiration Date

06/23/2023

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/06/2024