WALTER N ELLIS Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****67

License Status

NOT RENEWED

Business

First Name

WALTER N

Last Name

ELLIS

Business Name

WALTER N ELLIS

Original Issue Date

09/29/1989

Effective Date

09/29/1989

Expiration Date

01/31/1991

City

CHICAGO

State

Zip

60610

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2006