License holder summary

ELLIS, JACK BRADLEY, DO is a Medical - Physician licensed to practice in Georgia. The address on file for ELLIS, JACK BRADLEY, DO is 418 JADE DR, Augusta 30907. This doctor license is current. The license was granted 08/07/2014 and expired on 11/30/2017.

Georgia

Composite Medical Board

ELLIS, JACK BRADLEY, DO
Medical - Physician
License number
072627
Date granted
08/07/2014
Date expires
11/30/2017
Class
Medical - Physician
Status
Active
Address
418 JADE DR
georgiadoctors.net
ID 38040805
LAST UPDATED 2026-04-14 02:22:27 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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