WALTER N ELLIS Podiatrist License verification

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016004379

License Status

INACTIVE

Business

First Name

WALTER N

Last Name

ELLIS

Business Name

WALTER N ELLIS

Original Issue Date

09/12/1989

Effective Date

09/12/1989

Expiration Date

01/31/1991

City

WORTHINGTON

State

County

MINNESOTA

Ever Disciplined

LastModifiedDate

09/25/2006