ELLAINE AGRAVIADOR ALCARAZ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036123814

License Status

ACTIVE

Business

First Name

ELLAINE

Middle

AGRAVIADOR

Last Name

ALCARAZ

Suffix

Business Name

ELLAINE AGRAVIADOR ALCARAZ MD

Original Issue Date

06/22/2009

Effective Date

07/25/2023

Expiration Date

07/31/2026

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

07/25/2023