JEFFREY STUART ELLEN Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016003892

License Status

NOT RENEWED

Business

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

City

ATLANTA

State

Zip

30345

County

GEORGIA

Ever Disciplined

LastModifiedDate

09/25/2006