JEFFREY STUART ELLEN - Podiatrist License in Georgia | # 016003892

JEFFREY STUART ELLEN

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016003892

License Status

NOT RENEWED

Business

N

First Name

JEFFREY STUART

Last Name

ELLEN

Business Name

JEFFREY STUART ELLEN

Original Issue Date

07/05/1985

Effective Date

07/05/1985

Expiration Date

01/31/1987

State

GA

Ever Disciplined

N

LastModifiedDate

09/25/2006