License holder summary

ELLEN, MARK I, MD is a Medical - Physician licensed to practice in Georgia. The address on file for ELLEN, MARK I, MD is 700 S. 19TH BIRMINGHAM VAMC 35233. This doctor license is current. The license was granted 09/14/2001 and expired on 01/31/2017.

Georgia

Composite Medical Board

ELLEN, MARK I, MD
Medical - Physician
License number
050578
Date granted
09/14/2001
Date expires
01/31/2017
Class
Medical - Physician
Status
Active
Address
700 S. 19TH BIRMINGHAM VAMC
georgiadoctors.net
ID 38040725
LAST UPDATED 2024-04-22 13:18:59 UTC

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