DAVID PAUL ELLIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036117523

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

PAUL

Last Name

ELLIS

Suffix

Business Name

DAVID PAUL ELLIS MD

Original Issue Date

01/25/2007

Effective Date

06/24/2014

Expiration Date

07/31/2017

City

NEW BERLIN

State

Zip

53151

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/01/2017