MATTHEW JACK ELLENHORN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036029182

License Status

INACTIVE

Business

First Name

MATTHEW JACK

Last Name

ELLENHORN

Suffix

Business Name

MATTHEW JACK ELLENHORN MD

Original Issue Date

11/26/1948

Effective Date

11/26/1948

Expiration Date

07/31/1987

City

LOS ANGELES

State

Zip

90035

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

09/20/2006