The holder whose full name is Ellis, Jessica Laine,come from Davenport IA,hold the Physician license(NO.01060715A) which status is Expired Non-Renewable.
| Name | Ellis, Jessica Laine |
|---|---|
| License Number | 01060715A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Davenport |
| State | IA |