ELLIOTT H PAE Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****80

License Status

ACTIVE

Business

First Name

ELLIOTT

Middle

Last Name

PAE

Business Name

ELLIOTT H PAE

Original Issue Date

01/28/2002

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

WHEATON

State

Zip

60189

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2023