KYLEE MARIE WOLFE ELLEMAN DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125084240

License Status

ACTIVE

Business

Title

First Name

KYLEE

Middle

MARIE

Last Name

WOLFE ELLEMAN

Business Name

KYLEE MARIE WOLFE ELLEMAN DO

Original Issue Date

06/26/2024

Effective Date

06/26/2024

Expiration Date

06/25/2027

City

SPRINGFIELD

State

Zip

62794

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

06/06/2024