MICHAEL WAYNE ELLIOTT II 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

MICHAEL

Middle

WAYNE

Last Name

ELLIOTT

Suffix

II MD

Business Name

MICHAEL WAYNE ELLIOTT II MD

Original Issue Date

04/19/2000

Effective Date

05/12/2023

Expiration Date

07/31/2026

City

ROBINSON

State

Zip

62454

County

CRAWFORD

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/12/2023