ELAINA MOLTER SHADRACH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036158218

License Status

ACTIVE

Business

Title

First Name

ELAINA

Middle

MOLTER

Last Name

SHADRACH

Business Name

ELAINA MOLTER SHADRACH MD

Original Issue Date

09/03/2021

Effective Date

07/30/2023

Expiration Date

07/31/2026

City

CHILLICOTHE

State

Zip

61523

County

PEORIA

Ever Disciplined

LastModifiedDate

07/30/2023