ELLEN L PRATT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****77

License Status

ACTIVE

Business

Title

First Name

ELLEN

Middle

Last Name

PRATT

Business Name

ELLEN L PRATT MD

Original Issue Date

02/22/2010

Effective Date

06/23/2023

Expiration Date

07/31/2026

City

HOPEDALE

State

Zip

61747

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/23/2023