License holder summary

ELLIS, MARK BRIAN, DO is a Medical - Physician licensed to practice in Georgia. The address on file for ELLIS, MARK BRIAN, DO is 557 GLOVER AVE | SUITE 27, ENTERPRISE 36330. This doctor license is not current. The license was granted 10/03/1996 and expired on 09/30/2007.

Georgia

Composite Medical Board

ELLIS, MARK BRIAN, DO
Medical - Physician
License number
042564
Date granted
10/03/1996
Date expires
09/30/2007
Class
Medical - Physician
Status
Lapsed
Address
557 GLOVER AVE | SUITE 27
georgiadoctors.net
ID 38040821
LAST UPDATED 2024-04-23 02:08:54 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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