KIMBERLY TELEXA ELLIS MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036108072

License Status

INACTIVE

Business

First Name

KIMBERLY

Middle

TELEXA

Last Name

ELLIS

Suffix

Business Name

KIMBERLY TELEXA ELLIS MD

Original Issue Date

10/24/2002

Effective Date

07/12/2011

Expiration Date

07/31/2014

City

WILLIAMSBURG

State

Zip

23187

County

VIRGINIA

Ever Disciplined

LastModifiedDate

04/08/2014