ELLIS R DIAMOND MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036045744

License Status

INACTIVE

Business

First Name

ELLIS R

Last Name

DIAMOND

Suffix

Business Name

ELLIS R DIAMOND MD

Original Issue Date

07/01/1972

Effective Date

07/01/1972

Expiration Date

07/31/1987

City

OCEANSIDE

State

Zip

92056

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

09/20/2006