KATHRYN KAY ELLIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****60

License Status

NOT RENEWED

Business

First Name

KATHRYN KAY

Last Name

ELLIS

Suffix

Business Name

KATHRYN KAY ELLIS MD

Original Issue Date

05/03/1995

Effective Date

05/03/1995

Expiration Date

07/31/1999

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006