DOUGLAS HENRY ELLEBY Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016002822

License Status

NOT RENEWED

Business

First Name

DOUGLAS HENRY

Last Name

ELLEBY

Business Name

DOUGLAS HENRY ELLEBY

Original Issue Date

07/11/1975

Effective Date

07/11/1975

City

MARIETTA

State

Zip

30067

County

GEORGIA

Ever Disciplined

LastModifiedDate

09/25/2006