MARTHA-CONLEY ELIZABETH INGRAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

NOT RENEWED

Business

Title

First Name

MARTHA-CONLEY

Middle

ELIZABETH

Last Name

INGRAM

Business Name

MARTHA-CONLEY ELIZABETH INGRAM MD

Original Issue Date

09/18/2019

Effective Date

09/18/2019

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021