RANDY SUE ELLIS MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057638

License Status

INACTIVE

Business

First Name

RANDY SUE

Last Name

ELLIS

Suffix

Business Name

RANDY SUE ELLIS MD

Original Issue Date

09/25/1978

Effective Date

09/25/1978

Expiration Date

07/31/2002

City

SPRUCE PINE

State

Zip

28777

County

NORTH CAROLINA

Ever Disciplined

LastModifiedDate

10/09/2006