ELLEN MICHELLE MLOT DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036138495

License Status

ACTIVE

Business

Title

First Name

ELLEN

Middle

MICHELLE

Last Name

MLOT

Business Name

ELLEN MICHELLE MLOT DO

Original Issue Date

06/29/2015

Effective Date

07/11/2023

Expiration Date

07/31/2026

City

ELGIN

State

Zip

60120

County

KANE

Ever Disciplined

LastModifiedDate

07/11/2023