PAUL W ELLIS - Physician Assistant License in Illinois | # 085001823

PAUL W ELLIS

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001823

License Status

NOT RENEWED

Business

N

First Name

PAUL

Middle

W

Last Name

ELLIS

Business Name

PAUL W ELLIS

Original Issue Date

07/25/2002

Effective Date

02/05/2016

Expiration Date

03/01/2018

State

IL

Ever Disciplined

N

LastModifiedDate

05/10/2018