ANGELA A ELLIOTT DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****72

License Status

ACTIVE

Business

First Name

ANGELA

Middle

Last Name

ELLIOTT

Suffix

Business Name

ANGELA A ELLIOTT DO

Original Issue Date

12/11/2020

Effective Date

07/25/2023

Expiration Date

07/31/2026

City

DAVENPORT

State

Zip

52803

County

SCOTT

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/25/2023