PATRICIA M ELLIS Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000871

License Status

INACTIVE

Business

First Name

PATRICIA

Middle

Last Name

ELLIS

Business Name

PATRICIA M ELLIS

Original Issue Date

01/18/1997

Effective Date

01/18/1997

Expiration Date

03/01/2002

City

SAUK RAPIDS

State

Zip

56379

County

MINNESOTA

Ever Disciplined

LastModifiedDate

10/09/2006