JOSHUA ROBERT ELLISON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

ACTIVE

Business

First Name

JOSHUA

Middle

ROBERT

Last Name

ELLISON

Suffix

Business Name

JOSHUA ROBERT ELLISON MD

Original Issue Date

02/17/2009

Effective Date

04/17/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/17/2023