RICHARD J ELLISTON DPM Podiatrist License verification

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016004204

License Status

INACTIVE

Business

First Name

RICHARD J

Last Name

ELLISTON

Suffix

DPM

Business Name

RICHARD J ELLISTON DPM

Original Issue Date

11/20/1987

Effective Date

11/20/1987

Expiration Date

01/31/1989

City

FORT LAUDERDALE

State

Zip

33304

County

FLORIDA

Ever Disciplined

LastModifiedDate

09/25/2006