License holder summary

Richard Allen Ellerby is a Medical - Physician And Surgeon licensed to practice in Minnesota. The address on file for Richard Allen Ellerby is 5020 Sw Fairhaven Lane, Portland, OR. This doctor license is not current. The license was granted 11/07/1969 and expired on 12/31/1973.

Department of Safety and Professional Services

Board of Medical Practice

Richard Allen Ellerby
Medical - Physician And Surgeon
License number
18914
Date granted
11/07/1969
Date expires
12/31/1973
Class
Medical - Physician And Surgeon
Status
Canceled
Address
5020 Sw Fairhaven Lane, Portland, OR
doctorsminnesota.org
ID 22203097
LAST UPDATED 2024-03-22 11:14:57 UTC

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