Terry L Ellis
Medical - Physician Assistant
Minnesota 9867 Surrendered
This Minnesota license was held by Terry L Ellis. The license is no longer active. It was granted on 03/06/2004 and expired on 06/30/2006
LICENSE DETAILS
- License Number: 9867
- Category: Physician Assistant
- Status: Surrendered
- Date Granted: 03/06/2004 (about 20 years ago)
- Expiry Date: 06/30/2006 (almost 18 years ago)
LOCATIONS
A Licensure Designated Address
2302 Floral Dr, White Bear Lake, MN 55110