DAVID CARL ELLINGSEN MD - Medical Doctor License in Wisconsin | # 036095126

DAVID CARL ELLINGSEN MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036095126

License Status

INACTIVE

Business

N

First Name

DAVID CARL

Last Name

ELLINGSEN

Suffix

MD

Business Name

DAVID CARL ELLINGSEN MD

Original Issue Date

03/24/1997

Effective Date

03/24/1997

Expiration Date

07/31/1999

State

WI

Ever Disciplined

N

LastModifiedDate

09/20/2006