The holder whose full name is ELLISON, PAUL DAVID,come from SALINA KS,hold the Physician license(NO.01019289A) which status is Expired Non-Renewable.
| Name | ELLISON, PAUL DAVID |
|---|---|
| License Number | 01019289A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | SALINA |
| State | KS |