ELAINA MOLTER SHADRACH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****92

License Status

ACTIVE

Business

Title

First Name

ELAINA

Middle

MOLTER

Last Name

SHADRACH

Business Name

ELAINA MOLTER SHADRACH MD

Original Issue Date

11/02/2021

Effective Date

07/30/2023

Expiration Date

07/31/2026

City

CHILLICOTHE

State

Zip

61523

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/30/2023