MICHAEL HAROLD ELLMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****74

License Status

NOT RENEWED

Business

First Name

MICHAEL HAROLD

Last Name

ELLMAN

Suffix

Business Name

MICHAEL HAROLD ELLMAN MD

Original Issue Date

01/01/1997

Effective Date

07/22/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III

Ever Disciplined

LastModifiedDate

11/10/2011