KRISTIN ELIZABETH ELLISON MD 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

KRISTIN

Middle

ELIZABETH

Last Name

ELLISON

Business Name

KRISTIN ELIZABETH ELLISON MD

Original Issue Date

12/12/2016

Effective Date

12/12/2016

Expiration Date

07/31/2017

City

OAK PARK

State

Zip

60304

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017