License holder summary

Ellsworth, Charlene Ann is a Medical Physician & Surgeon licensed to practice in Missouri. This licensed professional license is current. The license was granted 06/01/2011 and expired on 01/31/2014.

Missouri

Division of Professional Registration

Ellsworth, Charlene Ann
Medical Physician & Surgeon
License number
2011015502  
Date granted
06/01/2011
Date expires
01/31/2014
Class
Medical Physician & Surgeon
Status
Clear
licensingmissouri.org
ID 2114934
LAST UPDATED 2024-05-13 06:12:24 UTC

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