JASON MICHAEL ELLIS DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****47

License Status

ACTIVE

Business

Title

First Name

JASON

Middle

MICHAEL

Last Name

ELLIS

Business Name

JASON MICHAEL ELLIS DO

Original Issue Date

05/14/2025

Effective Date

05/14/2025

Expiration Date

07/31/2026

City

DUBUQUE

State

Zip

52002

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/14/2025