Jody L. Ellis
Temporary Physician Assistant Permit
Indiana 99019216A Superceded
This Indiana license was held by Jody L. Ellis. The license is no longer active. It was granted on 11/15/2005 and expired on 08/15/2006
LICENSE DETAILS
- License Number: 99019216A
- Category: Temporary PA Permit
- Status: Superceded
- Date Granted: 11/15/2005 (over 18 years ago)
- Expiry Date: 08/15/2006 (almost 18 years ago)
LOCATIONS
A Address
Munster IN 46321