PAUL W ELLIS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001823

License Status

NOT RENEWED

Business

First Name

PAUL

Middle

Last Name

ELLIS

Business Name

PAUL W ELLIS

Original Issue Date

07/25/2002

Effective Date

02/05/2016

Expiration Date

03/01/2018

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/10/2018