ELLIE MARIE BENTLEY DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036150570

License Status

ACTIVE

Business

Title

First Name

ELLIE

Middle

MARIE

Last Name

BENTLEY

Business Name

ELLIE MARIE BENTLEY DO

Original Issue Date

08/23/2019

Effective Date

06/03/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60601

County

COOK

Ever Disciplined

LastModifiedDate

06/03/2023