The holder whose full name is Ellis, Cynthia Dawn,come from Zionsville IN,hold the Physician license(NO.01034480A) which status is Probation/Expired.
Name | Ellis, Cynthia Dawn |
---|---|
License Number | 01034480A |
License Type | Physician |
License Status | Probation/Expired |
City | Zionsville |
State | IN |