AUGUSTO ERNESTO ELIAS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****70

License Status

NOT RENEWED

Business

Title

First Name

AUGUSTO

Middle

ERNESTO

Last Name

ELIAS

Business Name

AUGUSTO ERNESTO ELIAS MD

Original Issue Date

09/10/2021

Effective Date

09/10/2021

Expiration Date

07/31/2023

City

GRAND RAPIDS

State

Zip

49506

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/05/2025