AUGUSTO ERNESTO ELIAS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

ACTIVE

Business

Title

First Name

AUGUSTO

Middle

ERNESTO

Last Name

ELIAS

Business Name

AUGUSTO ERNESTO ELIAS MD

Original Issue Date

07/19/2012

Effective Date

11/21/2025

Expiration Date

07/31/2026

City

GRAND RAPIDS

State

Zip

49506

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/21/2025