Edward Allen Ellis
Medical - Physician And Surgeon
Minnesota 16565 Active
This Minnesota license is held by Edward Allen Ellis. The license is currently active. It was granted on 07/02/1964 and expired on 09/30/2011
LICENSE DETAILS
- License Number: 16565
- Category: Physician and Surgeon
- Status: Active
- Date Granted: 07/02/1964 (almost 61 years ago)
- Expiry Date: 09/30/2011 (over 13 years ago)
LOCATIONS
A Licensure Designated Address
679 Norsota Way, Sarasota, FL 34242
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