The holder whose full name is ELLISS JR, JOHN WESLEY,come from OAKTON VA,hold the Physician license(NO.01019906A) which status is Expired Non-Renewable.
| Name | ELLISS JR, JOHN WESLEY |
|---|---|
| License Number | 01019906A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | OAKTON |
| State | VA |