DOUGLAS HENRY ELLEBY - Podiatrist License in Georgia | # 016002822

DOUGLAS HENRY ELLEBY

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016002822

License Status

NOT RENEWED

Business

N

First Name

DOUGLAS HENRY

Last Name

ELLEBY

Business Name

DOUGLAS HENRY ELLEBY

Original Issue Date

07/11/1975

Effective Date

07/11/1975

State

GA

Ever Disciplined

N

LastModifiedDate

09/25/2006