MARK C ELLIS MD - Medical Doctor License in North Carolina | # 036083553

MARK C ELLIS MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036083553

License Status

INACTIVE

Business

N

First Name

MARK C

Last Name

ELLIS

Suffix

MD

Business Name

MARK C ELLIS MD

Original Issue Date

10/04/1991

Effective Date

10/04/1991

Expiration Date

07/31/2005

State

NC

Ever Disciplined

N

LastModifiedDate

10/09/2006