JAMIE LYNN ELLIS-WITTENHAGEN DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****67

License Status

NOT RENEWED

Business

Title

First Name

JAMIE

Middle

LYNN

Last Name

ELLIS-WITTENHAGEN

Business Name

JAMIE LYNN ELLIS-WITTENHAGEN DO

Original Issue Date

08/16/2016

Effective Date

08/16/2016

Expiration Date

07/31/2017

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017