ELLEN KATHLEEN CASEY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****41

License Status

NOT RENEWED

Business

First Name

ELLEN

Middle

KATHLEEN

Last Name

CASEY

Suffix

Business Name

ELLEN KATHLEEN CASEY MD

Original Issue Date

04/06/2009

Effective Date

05/19/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60610

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014