ENRIQUE FERNANDO ELLI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125043813

License Status

CANCELLED

Business

First Name

ENRIQUE

Middle

FERNANDO

Last Name

ELLI

Suffix

Business Name

ENRIQUE FERNANDO ELLI MD

Original Issue Date

10/29/2001

Effective Date

10/29/2001

Expiration Date

11/27/2008

City

JACKSONVILLE

State

Zip

32224

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006