MARK H. ELLIS

Idaho  M-3797   Canceled

This Idaho license was held by MARK H. ELLIS. The license is no longer active. It was granted on 07/17/1978 and expired on 06/30/1989

LICENSE DETAILS

  • License Number: M-3797
  • Category: Board Of Medicine
  • Status: Canceled
  • Date Granted: 07/17/1978 (over 46 years ago)
  • Expiry Date: 06/30/1989 (almost 36 years ago)

LOCATIONS

A Residential

1101 Welch Rd. #A-4 Palo Alto CA 94304