License holder summary

ELLIS, MARK CHARLES, MD is a Medical - Physician licensed to practice in Georgia. The address on file for ELLIS, MARK CHARLES, MD is 3105 WESTERN AVENUE, MATTOON 61938. This doctor license is not current. The license was granted 06/07/2002 and expired on 12/31/2003.

Georgia

Composite Medical Board

ELLIS, MARK CHARLES, MD
Medical - Physician
License number
051462
Date granted
06/07/2002
Date expires
12/31/2003
Class
Medical - Physician
Status
Lapsed
Address
3105 WESTERN AVENUE
georgiadoctors.net
ID 38040822
LAST UPDATED 2026-05-23 22:05:06 UTC

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