EDWARD C ELLIOTT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****85

License Status

ACTIVE

Business

First Name

EDWARD C

Last Name

ELLIOTT

Suffix

Business Name

EDWARD C ELLIOTT MD

Original Issue Date

05/05/1989

Effective Date

05/27/2023

Expiration Date

07/31/2026

City

DECATUR

State

Zip

62526

County

MACON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/27/2023