JAY ELLIS BERKELHAMER MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036041840

License Status

INACTIVE

Business

First Name

JAY ELLIS

Last Name

BERKELHAMER

Suffix

Business Name

JAY ELLIS BERKELHAMER MD

Original Issue Date

07/18/1968

Effective Date

06/05/2008

Expiration Date

07/31/2011

City

ATLANTA

State

Zip

30305

County

GEORGIA

Ever Disciplined

LastModifiedDate

04/07/2011