License holder summary

MARK H. ELLIS is a Board Of Medicine licensed to practice in Idaho. The address on file for MARK H. ELLIS is 1101 Welch Rd. #A-4 Palo Alto CA 94304. This licensed professional license is not current. The license was granted 07/17/1978 and expired on 06/30/1989.

Idaho

Division of Occupational and Professional Licenses

MARK H. ELLIS
Board Of Medicine
License number
M-3797
Date granted
07/17/1978
Date expires
06/30/1989
Class
Board Of Medicine
Status
Canceled
Address
1101 Welch Rd. #A-4 Palo Alto CA 94304
idaholicensing.com
ID 48355174
LAST UPDATED 2024-03-16 06:24:28 UTC

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