CARL RICHARD ELLIS
Department Of Health - Podiatric Physician
Florida PO638 Delinquent
This Florida license was held by CARL RICHARD ELLIS. The license is no longer active. It was granted on 01/01/1957 and expired on 03/31/2014
LICENSE DETAILS
- License Number: PO638
- Category: Podiatric Physician
- Status: Delinquent
- Date Granted: 01/01/1957 (over 69 years ago)
- Expiry Date: 03/31/2014 (over 12 years ago)
LOCATIONS
A Primary Practice Address
416 JUNIPER DR, CRESTVIEW, FL 32536-9223