Professional Records
License Records
Dezare Ellis
Address:
888 Churchill Ct, Stone Mountain, GA
3625 University Blvd S, Jacksonville, FL
Phone:
(410) 419-3962
License #:
90156 - Active
Category:
Health Care
Issued Date:
Apr 25, 2016
Effective Date:
Apr 25, 2016
Expiration Date:
May 31, 2018
Type:
Radiologic Technology