ELLIE MARIE BENTLEY DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****10

License Status

ACTIVE

Business

Title

First Name

ELLIE

Middle

MARIE

Last Name

BENTLEY

Business Name

ELLIE MARIE BENTLEY DO

Original Issue Date

08/23/2019

Effective Date

06/14/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60601

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/14/2023