TODD WILLIAM ELLINGSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036117290

License Status

NOT RENEWED

Business

First Name

TODD

Middle

WILLIAM

Last Name

ELLINGSON

Suffix

Business Name

TODD WILLIAM ELLINGSON MD

Original Issue Date

12/12/2006

Effective Date

12/12/2006

Expiration Date

07/31/2008

City

SHERWOOD

State

Zip

97140

County

WASHINGTON

Ever Disciplined

LastModifiedDate

11/06/2008