Inicio » Datos Abiertos » Estados Unidos de América » Salud » Florida Health Professionals » Ellis Susan A
Ellis Susan A - Florida Health Professionals
| County | HILLSBOROUGH |
|---|---|
| Address (Line 1) | 134 DANUBE AVE |
| Address (Line 2) | # 4 |
| Address (City) | TAMPA |
| Address (State) | FL |
| Address (Zip Code) | 33606 |
| Profession | Athletic Trainer |
 teachkidz4evr@hotmail.com | |
| File Number | 246 |
| License Expiration Date | 9/30/2008 |
| Original Date | 10/18/1995 |
| Rank Code | AL |
| License Number | 246 |
| Status Effective Date | 10/14/2010 |
| Phone Number (Area Code) | 407 |
|---|---|
| Phone Number | 252-4915 |
| Practice Location (Address Line1) | 134 DANUBE AVE |
| Practice Location (Address Line 2) | # 4 |
| Practice Location (City) | TAMPA |
| Practice Location (State) | FL |
| Practice Location (Zip Code) | 33606 |
| Prescribe Ind | N |
| Full Name | ELLIS SUSAN A |
| Board Action Indicator | N |
| License Status Description | NULL AND VOID |
