License holder summary

MARY JANE ELLISON is a Board Of Medicine licensed to practice in Idaho. The address on file for MARY JANE ELLISON is 139 Diana #A ENCINITAS CA 92024. This licensed professional license is not current. The license was granted 10/31/1987 and expired on 07/02/1990.

Idaho

Division of Occupational and Professional Licenses

MARY JANE ELLISON
Board Of Medicine
License number
M-5285
Date granted
10/31/1987
Date expires
07/02/1990
Class
Board Of Medicine
Status
Canceled
Address
139 Diana #A ENCINITAS CA 92024
idaholicensing.com
ID 48355182
LAST UPDATED 2024-03-24 05:14:58 UTC

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