License holder summary

ELLIS, TADECHER N is a Medical - Physician Assistant licensed to practice in Georgia. The address on file for ELLIS, TADECHER N is 8370 SW 65TH AVE | APT# 1, MIAMI 33143. This doctor license is not current. The license was granted 07/10/2014 and expired on 06/30/2016.

Georgia

Composite Medical Board

ELLIS, TADECHER N
Medical - Physician Assistant
License number
007227
Date granted
07/10/2014
Date expires
06/30/2016
Class
Medical - Physician Assistant
Status
In Renewal
Address
8370 SW 65TH AVE | APT# 1
georgiadoctors.net
ID 38097833
LAST UPDATED 2024-04-11 18:09:58 UTC

This website is unaffiliated with the Composite Medical Board. Please verify all information directly with the relevant official government authority.

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