DAVID PAUL ELLIS MD - Medical Doctor License in Wisconsin | # 036117523

DAVID PAUL ELLIS MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036117523

License Status

NOT RENEWED

Business

N

First Name

DAVID

Middle

PAUL

Last Name

ELLIS

Suffix

MD

Business Name

DAVID PAUL ELLIS MD

Original Issue Date

01/25/2007

Effective Date

06/24/2014

Expiration Date

07/31/2017

State

WI

Ever Disciplined

N

LastModifiedDate

11/01/2017