Mark Leon Ellis
InactiveCalifornia license 33282
License
- Licensed by
- Dental Board of California
- License number
- 33282
- Status
- Inactive (CurrentInactive)
- First issued
- June 4, 1985
- Expires
- May 31, 2028
- License holder
- Mark Leon Ellis
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
14424 Eagle Island Ct
Gainesville, VA 20155-3888
Gainesville, VA 20155-3888
Prince William County