STEPHEN C ELLIS MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036069219

License Status

INACTIVE

Business

First Name

STEPHEN C

Last Name

ELLIS

Suffix

Business Name

STEPHEN C ELLIS MD

Original Issue Date

08/09/1984

Effective Date

08/09/1984

Expiration Date

07/31/1999

City

OVERLAND PARK

State

Zip

66209

County

KANSAS

Ever Disciplined

LastModifiedDate

06/25/2013