SAMUEL F ELLISON MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036066655

License Status

INACTIVE

Business

First Name

SAMUEL F

Last Name

ELLISON

Suffix

Business Name

SAMUEL F ELLISON MD

Original Issue Date

06/07/1983

Effective Date

06/07/1983

Expiration Date

07/31/1987

City

SAN FRANCISCO

State

Zip

94123

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

09/20/2006