ALYSA GAIL ELLIS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036159475

License Status

ACTIVE

Business

Title

First Name

ALYSA

Middle

GAIL

Last Name

ELLIS

Business Name

ALYSA GAIL ELLIS MD

Original Issue Date

02/15/2022

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

SAINT LOUIS

State

Zip

63110

Ever Disciplined

LastModifiedDate

04/07/2023