JAMES EDWARD ELLIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036038612

License Status

NOT RENEWED

Business

First Name

JAMES EDWARD

Last Name

ELLIS

Suffix

Business Name

JAMES EDWARD ELLIS MD

Original Issue Date

09/09/1963

Effective Date

09/09/1963

City

LINCOLN

State

Zip

01773

County

MASSACHUSETTS

Ever Disciplined

LastModifiedDate

09/20/2006