JAMES POWELL ELLIS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000182

License Status

NOT RENEWED

Business

First Name

JAMES POWELL

Last Name

ELLIS

Business Name

JAMES POWELL ELLIS

Original Issue Date

06/15/1980

Effective Date

06/15/1980

Expiration Date

03/01/1998

City

ZION

State

Zip

60099

County

LAKE

Ever Disciplined

LastModifiedDate

09/26/2006