JOSHUA D I ELLENHORN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****15

License Status

NOT RENEWED

Business

First Name

JOSHUA D I

Last Name

ELLENHORN

Suffix

Business Name

JOSHUA D I ELLENHORN MD

Original Issue Date

12/12/1988

Effective Date

12/12/1988

Expiration Date

07/31/1990

City

CHICAGO

State

Zip

60614

County

COOK

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

09/26/2006