CAREY EUGENE ELLIS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****23

License Status

ACTIVE

Business

First Name

CAREY

Middle

EUGENE

Last Name

ELLIS

Suffix

Business Name

CAREY EUGENE ELLIS MD

Original Issue Date

08/29/2003

Effective Date

07/08/2023

Expiration Date

07/31/2026

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/08/2023