JAMES H ELLIS DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****28

License Status

NOT RENEWED

Business

First Name

JAMES

Middle

Last Name

ELLIS

Suffix

Business Name

JAMES H ELLIS DO

Original Issue Date

01/06/1999

Effective Date

04/11/2017

Expiration Date

09/30/2020

City

TRAVERSE CITY

State

Zip

49684

County

MICHIGAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021