MARK C ELLIS MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036083553

License Status

INACTIVE

Business

First Name

MARK C

Last Name

ELLIS

Suffix

Business Name

MARK C ELLIS MD

Original Issue Date

10/04/1991

Effective Date

10/04/1991

Expiration Date

07/31/2005

City

CHARLOTTE

State

Zip

28270

County

NORTH CAROLINA

Ever Disciplined

LastModifiedDate

10/09/2006