ELLEN BACHMAN MENDELSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

NOT RENEWED

Business

First Name

ELLEN BACHMAN

Last Name

MENDELSON

Suffix

Business Name

ELLEN BACHMAN MENDELSON MD

Original Issue Date

06/09/1983

Effective Date

06/09/1983

Expiration Date

07/31/1987

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020