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Data Detail

Name: Glenn T. Ellis 

Designation: Ph.D.

Issue Date: 11/9/1973

Expiration Date: 6/30/2025

License Number: 8 105

Disciplinary Action: None

Company:

City: Starkville

State: MS

Zip: 39759

Work Phone: (662) 312-3602  Ext:

Civil Commitment Certification: