ELLEN MARIE MONGAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036169155

License Status

ACTIVE

Business

Title

First Name

ELLEN

Middle

MARIE

Last Name

MONGAN

Business Name

ELLEN MARIE MONGAN MD

Original Issue Date

03/06/2024

Effective Date

03/06/2024

Expiration Date

07/31/2026

City

BALTIMORE

State

Zip

21210

Ever Disciplined

LastModifiedDate

07/22/2024