WALTER RAY ELLISTON MD
Licensed Physician Controlled Substance
Illinois 336065665 Canceled
This Illinois license was held by WALTER RAY ELLISTON MD. The license is no longer active. It was granted on 07/17/2001 and expired on 07/31/2005
LICENSE DETAILS
- License Number: 336065665
- Category: LICENSED PHYSICIAN CONTROLLED SUBSTANCE
- Status: Canceled
- Date Granted: 07/17/2001 (almost 24 years ago)
- Expiry Date: 07/31/2005 (over 19 years ago)
LOCATIONS
A Address
CARTERVILLE, IL 62918