ELLIS, MICHAEL A

Medical - Resident Physician

Georgia  000499   Lapsed

This Georgia license was held by ELLIS, MICHAEL A. The license is no longer active. It was granted on 08/06/2004 and expired on 06/30/2009

LICENSE DETAILS

  • License Number: 000499
  • Category: Resident Physician
  • Status: Lapsed
  • Date Granted: 08/06/2004 (almost 21 years ago)
  • Expiry Date: 06/30/2009 (almost 16 years ago)

LOCATIONS

A Address

2000 16TH AVENUE, Columbus 31901