License holder summary

BLACK, ROBERT ELLIS III, MD is a Medical - Physician licensed to practice in Georgia. The address on file for BLACK, ROBERT ELLIS III, MD is 1000 MEDICAL CENTER BLVD, Lawrenceville 30046. This doctor license is current. The license was granted 05/04/2012 and expired on 09/30/2017.

Georgia

Composite Medical Board

BLACK, ROBERT ELLIS III, MD
Medical - Physician
License number
067920
Date granted
05/04/2012
Date expires
09/30/2017
Class
Medical - Physician
Status
Active
Address
1000 MEDICAL CENTER BLVD
georgiadoctors.net
ID 38028854
LAST UPDATED 2024-02-16 00:55:16 UTC

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