KRISTIN ALEXANDRIA ELLIS DO

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****40

NOT RENEWED

N

DO

KRISTIN

ALEXANDRIA

ELLIS

KRISTIN ALEXANDRIA ELLIS DO

08/07/2019

05/13/2020

07/31/2023

CHICAGO

IL

60605

COOK

PRACTITIONER

II III IV V

N

11/30/2023