License holder summary

Terry L Ellis is a Medical - Physician Assistant licensed to practice in Minnesota. The address on file for Terry L Ellis is 2302 Floral Dr, White Bear Lake, MN 55110. This licensed professional license is not current. The license was granted 03/06/2004 and expired on 06/30/2006.

Minnesota

Department of Labor and Industry

Terry L Ellis
Medical - Physician Assistant
License number
9867
Date granted
03/06/2004
Date expires
06/30/2006
Class
Medical - Physician Assistant
Status
Surrendered
Address
2302 Floral Dr, White Bear Lake, MN 55110
mnlicensing.org
ID 22350528
LAST UPDATED 2024-04-14 19:14:05 UTC

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