Jay David Ellenby Md
Revoked or deniedIllinois license 036036769
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 036036769
- Status
- Revoked or denied (Refuse To Renew)
- First issued
- September 6, 1960
- Expired
- July 31, 1987
- License holder
- Jay David Ellenby Md
- Entity type
- Individual
Classifications
- Licensed Physician and Surgeon (Medical Board) Physicians & Surgeons
More from the license record
- Current term began
- 09/06/1960
- Ever disciplined
- Yes
- Discipline case
- 2005006931
- Discipline action
- Refuse To Renew
- Discipline reason
- Sister state discipline.
- Discipline dates
- 01/12/2006
Contact
N Miami Beach, FL 33179
Florida County