STEPHEN GEOFFREY ELLIS MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036106787

License Status

INACTIVE

Business

First Name

STEPHEN

Middle

GEOFFREY

Last Name

ELLIS

Suffix

Business Name

STEPHEN GEOFFREY ELLIS MD

Original Issue Date

04/16/2002

Effective Date

06/25/2014

Expiration Date

07/31/2017

City

CLEVELAND

State

Zip

44195

County

OHIO

Ever Disciplined

LastModifiedDate

04/12/2017