JOSHUA ROBERT ELLISON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050834

License Status

EXPIRED

Business

First Name

JOSHUA

Middle

ROBERT

Last Name

ELLISON

Suffix

Business Name

JOSHUA ROBERT ELLISON MD

Original Issue Date

06/25/2006

Effective Date

06/25/2006

Expiration Date

06/24/2009

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

08/19/2009