AMANDA D ELLIS-PELLETIER DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036120880

License Status

ACTIVE

Business

First Name

AMANDA

Middle

Last Name

ELLIS-PELLETIER

Suffix

Business Name

AMANDA D ELLIS-PELLETIER DO

Original Issue Date

05/15/2008

Effective Date

06/09/2023

Expiration Date

07/31/2026

City

LAKE FOREST

State

Zip

60045

County

COOK

Ever Disciplined

LastModifiedDate

06/09/2023