ELLEN B REST MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036073746

License Status

INACTIVE

Business

First Name

ELLEN B

Last Name

REST

Suffix

Business Name

ELLEN B REST MD

Original Issue Date

09/12/1986

Effective Date

09/12/1986

Expiration Date

07/31/1990

City

BALTIMORE

State

Zip

21212

County

MARYLAND

Ever Disciplined

LastModifiedDate

09/22/2008