ELLYN T FEINZIMER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****03

License Status

NOT RENEWED

Business

First Name

ELLYN T

Last Name

FEINZIMER

Suffix

Business Name

ELLYN T FEINZIMER MD

Original Issue Date

06/08/1990

Effective Date

05/18/2011

Expiration Date

07/31/2014

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

04/12/2017