JAY DAVID ELLENBY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036036769

License Status

NOT RENEWED

Business

First Name

JAY DAVID

Last Name

ELLENBY

Suffix

Business Name

JAY DAVID ELLENBY MD

Original Issue Date

09/06/1960

Effective Date

09/06/1960

Expiration Date

07/31/1987

City

N MIAMI BEACH

State

Zip

33179

County

FLORIDA

Ever Disciplined

LastModifiedDate

02/03/2007

Case Number

2005006931

Action

Refuse To Renew

Discipline Start Date

01/12/2006

Discipline Reason

Sister state discipline.