EDWARD STEPHEN ELLIS

Physician

Indiana  01046903A   Expired Non-Renewable

This Indiana license was held by EDWARD STEPHEN ELLIS. The license is no longer active. It was granted on 06/26/1997 and expired on 06/30/2005

LICENSE DETAILS

  • License Number: 01046903A
  • Category: Physician
  • Status: Expired Non-Renewable
  • Date Granted: 06/26/1997 (about 29 years ago)
  • Expiry Date: 06/30/2005 (about 21 years ago)

LOCATIONS

A Address

KNOXVILLE TN 37919