License holder summary

DR. EZRA DANIEL ELLIS is a Board Of Medicine licensed to practice in Idaho. The address on file for DR. EZRA DANIEL ELLIS is 743 Spring Street NE Gainesville GA 30501. This licensed professional license is not current. The license was granted 01/28/2008 and expired on 06/30/2014.

Idaho

Division of Occupational and Professional Licenses

DR. EZRA DANIEL ELLIS
Board Of Medicine
License number
M-10161
Date granted
01/28/2008
Date expires
06/30/2014
Class
Board Of Medicine
Status
Canceled
Address
743 Spring Street NE Gainesville GA 30501
idaholicensing.com
ID 48355166
LAST UPDATED 2026-04-28 23:43:10 UTC

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