GERALD ELLSWORTH HAMMOND MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036035973

License Status

INACTIVE

Business

First Name

GERALD ELLSWORTH

Last Name

HAMMOND

Suffix

Business Name

GERALD ELLSWORTH HAMMOND MD

Original Issue Date

08/28/1959

Effective Date

08/28/1959

Expiration Date

07/31/1993

City

HIGHLAND

State

Zip

62249

County

MADISON

Ever Disciplined

LastModifiedDate

09/20/2006