ELLAINE AGRAVIADOR ALCARAZ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****46

License Status

ACTIVE

Business

First Name

ELLAINE

Middle

AGRAVIADOR

Last Name

ALCARAZ

Suffix

Business Name

ELLAINE AGRAVIADOR ALCARAZ MD

Original Issue Date

06/26/2009

Effective Date

07/25/2023

Expiration Date

07/31/2026

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/25/2023