WALTER RAY ELLISTON MD
Licensed Physician Controlled Substance (Schedules Ii Iii Iin Iiin Iv V )
Illinois 336068234 Canceled
This Illinois license was held by WALTER RAY ELLISTON MD. The license is no longer active. It was granted on 07/24/2002 and expired on 07/31/2005
LICENSE DETAILS
- License Number: 336068234
- Category: LICENSED PHYSICIAN CONTROLLED SUBSTANCE (Schedules II III IIN IIIN IV V )
- Status: Canceled
- Date Granted: 07/24/2002 (over 22 years ago)
- Expiry Date: 07/31/2005 (over 19 years ago)
LOCATIONS
A Address
WEST FRANKFORT, IL 62896