ELLI LOCKHART MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125076292

License Status

CANCELLED

Business

Title

First Name

ELLI

Last Name

LOCKHART

Business Name

ELLI LOCKHART MD

Original Issue Date

06/23/2020

Effective Date

06/23/2020

Expiration Date

06/22/2023

City

WESTERN SPRINGS

State

Zip

60558

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

05/07/2020