THEODORE J ELLIS MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****77

NOT RENEWED

N

THEODORE J

ELLIS

MD

THEODORE J ELLIS MD

05/17/1994

07/16/2020

07/31/2023

NAPERVILLE

IL

60540

DUPAGE

II III IV V

N

11/30/2023