ERIN D ELLIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****14

License Status

NOT RENEWED

Business

First Name

ERIN D

Last Name

ELLIS

Suffix

Business Name

ERIN D ELLIS MD

Original Issue Date

06/12/1987

Effective Date

06/12/1987

Expiration Date

07/31/1993

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II IV V

Ever Disciplined

LastModifiedDate

09/26/2006