License holder summary

Shane Thomas Ellis is a Medical - Physician And Surgeon licensed to practice in Minnesota. The address on file for Shane Thomas Ellis is 3551 Roger Brooke Drive, Brook Army Medical Center, San Antonio, TX 78234-6200. This doctor license is current. The license was granted 03/08/2014 and expired on 10/31/2015.

Department of Safety and Professional Services

Board of Medical Practice

Shane Thomas Ellis
Medical - Physician And Surgeon
License number
57547
Date granted
03/08/2014
Date expires
10/31/2015
Class
Medical - Physician And Surgeon
Status
Active
Address
3551 Roger Brooke Drive, Brook Army Medical Center, San Antonio, TX 78234-6200
doctorsminnesota.org
ID 22203171
LAST UPDATED 2024-04-04 23:42:12 UTC

This website is unaffiliated with the Board of Medical Practice. Please verify all information directly with the relevant official government authority.

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