Georgia
Composite Medical Board
ELLIS, MICHAEL CONRAD, MD
Medical - Physician
License number
064369
Date granted
05/07/2010
Date expires
04/30/2014
Class
Medical - Physician
Status
Lapsed
Address
3024 BUSINESS PARK CIRCLE
georgiadoctors.net
ID 38040825
LAST UPDATED 2026-05-31 08:22:41 UTC
LAST UPDATED 2026-05-31 08:22:41 UTC
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