MONICA RENEE ELLIS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****78

License Status

ACTIVE

Business

Title

First Name

MONICA

Middle

RENEE

Last Name

ELLIS

Business Name

MONICA RENEE ELLIS MD

Original Issue Date

07/02/2024

Effective Date

07/02/2024

Expiration Date

07/31/2026

City

PALOS HEIGHTS

State

Zip

60463

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/02/2024