BERNIE E ELLIOTT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****90

License Status

ACTIVE

Business

First Name

BERNIE E

Last Name

ELLIOTT

Suffix

Business Name

BERNIE E ELLIOTT MD

Original Issue Date

09/09/1994

Effective Date

06/15/2023

Expiration Date

07/31/2026

City

GRAND RAPIDS

State

Zip

49504

County

MICHIGAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/15/2023