License holder summary

ELLISIV LIEN is a Physician - Physician & Surgeon licensed to practice in Utah. The address on file for ELLISIV LIEN is TYLER, TX 75703. This licensed professional license is not current. The license was granted 12/14/2004 and expired on 01/31/2012.

Utah

Division of Occupational and Professional Licensing

ELLISIV LIEN
Physician - Physician & Surgeon
License number
5763906-1205
Date granted
12/14/2004
Date expires
01/31/2012
Class
Physician - Physician & Surgeon
Status
Expired
Address
TYLER, TX 75703
utahlicensing.org
ID 29923323
LAST UPDATED 2024-03-29 20:26:32 UTC

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