CHRISTINA ELLISON VANDENBOSCH MD - Medical Doctor License in Washington | # 036102209

CHRISTINA ELLISON VANDENBOSCH MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036102209

License Status

NOT RENEWED

Business

N

First Name

CHRISTINA

Middle

ELLISON

Last Name

VANDENBOSCH

Suffix

MD

Business Name

CHRISTINA ELLISON VANDENBOSCH MD

Original Issue Date

03/28/2000

Effective Date

06/20/2011

Expiration Date

07/31/2014

State

WA

Ever Disciplined

N

LastModifiedDate

07/10/2015