EVAN D ELLIS - Medical Doctor License in Oregon | # 036121496

EVAN D ELLIS

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036121496

License Status

NOT RENEWED

Business

N

First Name

EVAN

Middle

D

Last Name

ELLIS

Business Name

EVAN D ELLIS

Original Issue Date

07/16/2008

Effective Date

07/01/2011

Expiration Date

07/31/2014

State

OR

Ever Disciplined

N

LastModifiedDate

11/17/2014