MATTHEW STEWART ELLIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036147103

License Status

NOT RENEWED

Business

Title

First Name

MATTHEW

Middle

STEWART

Last Name

ELLIS

Business Name

MATTHEW STEWART ELLIS MD

Original Issue Date

08/02/2018

Effective Date

08/02/2018

Expiration Date

09/30/2020

City

GAINESVILLE

State

Zip

32605

Ever Disciplined

LastModifiedDate

01/14/2021