ERYNN ELIZABETH ELLEBY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

ACTIVE

Business

First Name

ERYNN

Middle

ELIZABETH

Last Name

ELLEBY

Suffix

Business Name

ERYNN ELIZABETH ELLEBY MD

Original Issue Date

04/27/2016

Effective Date

07/17/2023

Expiration Date

07/31/2026

City

SHILOH

State

Zip

62221

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/17/2023