JASON C NELLIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036151594

License Status

NOT RENEWED

Business

Title

First Name

JASON

Middle

Last Name

NELLIS

Business Name

JASON C NELLIS MD

Original Issue Date

01/21/2020

Effective Date

01/21/2020

Expiration Date

09/30/2020

City

BALTIMORE

State

Zip

21230

Ever Disciplined

LastModifiedDate

01/14/2021