BENJAMIN ELLISON COLLIE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036153349

License Status

ACTIVE

Business

Title

First Name

BENJAMIN

Middle

ELLISON

Last Name

COLLIE

Business Name

BENJAMIN ELLISON COLLIE MD

Original Issue Date

06/12/2020

Effective Date

05/08/2023

Expiration Date

07/31/2026

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

06/05/2024