ELLEN E CUNNINGHAM Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

NOT RENEWED

Business

First Name

ELLEN

Middle

Last Name

CUNNINGHAM

Business Name

ELLEN E CUNNINGHAM

Original Issue Date

08/17/2000

Effective Date

08/17/2000

Expiration Date

07/31/2002

City

NAPERVILLE

State

Zip

60563

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006