ELLYN G MCINTOSH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036139152

License Status

NOT RENEWED

Business

Title

First Name

ELLYN

Middle

Last Name

MCINTOSH

Business Name

ELLYN G MCINTOSH MD

Original Issue Date

09/22/2015

Effective Date

09/22/2015

Expiration Date

07/31/2017

City

LONG BEACH

State

Zip

90814

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

11/01/2017