DAVID CARL ELLINGSEN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036095126

License Status

INACTIVE

Business

First Name

DAVID CARL

Last Name

ELLINGSEN

Suffix

Business Name

DAVID CARL ELLINGSEN MD

Original Issue Date

03/24/1997

Effective Date

03/24/1997

Expiration Date

07/31/1999

City

MARSHFIELD

State

Zip

54449

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006