License holder summary

LARAVIA, LEE ELLIS is a Medical - Resident Physician licensed to practice in Georgia. The address on file for LARAVIA, LEE ELLIS is 1459 LANEY WALKER BLVD | AE-3042, Augusta 30912. This doctor license is not current. The license was granted 09/02/2010 and expired on 06/30/2014.

Georgia

Composite Medical Board

LARAVIA, LEE ELLIS
Medical - Resident Physician
License number
004711
Date granted
09/02/2010
Date expires
06/30/2014
Class
Medical - Resident Physician
Status
Lapsed
Address
1459 LANEY WALKER BLVD | AE-3042
georgiadoctors.net
ID 38117829
LAST UPDATED 2024-03-15 06:31:33 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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