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ELLIS, MICHAEL
Practice Address: BOX 8199
MARSHALL TX 75671-8199
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 17541
Dated: 11/30/1990
Expires: 11/1/2002
License Type: Medical Doctor
Specialty: Anatomic/Clinical Pathology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Tulane Univ Sch Of Med, New Orleans La 70112
Graduated: 5 / 1960
CME Year: 2003
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
11/21/2002 Suspension, License
Board Filings and/or Orders:
11/21/2002
08/08/2002
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF PATHOLOGY
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
BOX 8199
MARSHALL TX 75671-8199

Phone #:
Fax #:

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