EVAN D ELLIS Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036121496

License Status

NOT RENEWED

Business

First Name

EVAN

Middle

Last Name

ELLIS

Business Name

EVAN D ELLIS

Original Issue Date

07/16/2008

Effective Date

07/01/2011

Expiration Date

07/31/2014

City

LAKE OSWEGO

State

Zip

97034

County

OREGON

Ever Disciplined

LastModifiedDate

11/17/2014