WALTER RAY ELLISTON MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036105218

License Status

INACTIVE

Business

First Name

WALTER

Middle

RAY

Last Name

ELLISTON

Suffix

Business Name

WALTER RAY ELLISTON MD

Original Issue Date

07/16/2001

Effective Date

07/16/2001

Expiration Date

07/31/2005

City

DALLAS

State

Zip

75252

County

TEXAS

Ever Disciplined

LastModifiedDate

10/09/2006