ELLEN CODY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036160882

License Status

NOT RENEWED

Business

Title

First Name

ELLEN

Last Name

CODY

Business Name

ELLEN CODY MD

Original Issue Date

06/14/2022

Effective Date

06/14/2022

Expiration Date

07/31/2023

City

SHILOH

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

11/30/2023