TABITHA ROBIN ELLSWORTH DC Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED CHIROPRACTIC PHYSICIAN

License Number

038011457

License Status

ACTIVE

Business

First Name

TABITHA

Middle

ROBIN

Last Name

ELLSWORTH

Suffix

Business Name

TABITHA ROBIN ELLSWORTH DC

Original Issue Date

06/11/2009

Effective Date

04/05/2023

Expiration Date

07/31/2026

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

04/05/2023