JEFFREY LYNN ELLIS
Idaho LRT-567 Surrendered
This Idaho license was held by JEFFREY LYNN ELLIS. The license is no longer active. It was granted on 07/22/1996 and expired on 06/30/2000
LICENSE DETAILS
- License Number: LRT-567
- Category: Board Of Medicine
- Status: Surrendered
- Date Granted: 07/22/1996 (almost 28 years ago)
- Expiry Date: 06/30/2000 (almost 24 years ago)
LOCATIONS
A Residential
2178 Bodily Idaho Falls ID 83401