License holder summary

ROY J ELLSWORTH is a Board Of Medicine licensed to practice in Idaho. The address on file for ROY J ELLSWORTH is 3300 Crescent Rim Dr BOISE ID 83706. This licensed professional license is current. The license was granted 01/09/1962 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

ROY J ELLSWORTH
Board Of Medicine
License number
M-2555
Date granted
01/09/1962
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
3300 Crescent Rim Dr BOISE ID 83706
idaholicensing.com
ID 48357508
LAST UPDATED 2024-02-08 16:03:45 UTC

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