ELLEN MICHELLE MLOT DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****55

License Status

ACTIVE

Business

Title

First Name

ELLEN

Middle

MICHELLE

Last Name

MLOT

Business Name

ELLEN MICHELLE MLOT DO

Original Issue Date

06/29/2015

Effective Date

07/11/2023

Expiration Date

07/31/2026

City

ELGIN

State

Zip

60120

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/11/2023