RYAN JOSEPH ELLIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****53

License Status

NOT RENEWED

Business

Title

First Name

RYAN

Middle

JOSEPH

Last Name

ELLIS

Business Name

RYAN JOSEPH ELLIS MD

Original Issue Date

06/28/2017

Effective Date

04/21/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023