JEFFREY WARREN ELLIS MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036050358

License Status

INACTIVE

Business

First Name

JEFFREY WARREN

Last Name

ELLIS

Suffix

Business Name

JEFFREY WARREN ELLIS MD

Original Issue Date

11/26/1974

Effective Date

11/26/1974

Expiration Date

07/31/1993

City

TAMPA

State

Zip

33647

Ever Disciplined

LastModifiedDate

07/13/2010