THEODORE WINTHRO ELLER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****58

License Status

NOT RENEWED

Business

Title

First Name

THEODORE WINTHRO

Last Name

ELLER

Business Name

THEODORE WINTHRO ELLER MD

Original Issue Date

01/01/1997

Effective Date

07/13/2011

Expiration Date

07/31/2014

City

EVANSTON

State

Zip

60201

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014